Individual
DR. MICHAEL A FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2600
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49309
CA
Other
Enumeration date
05/06/2010
Last updated
11/19/2018
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