Individual
DR. JARI FAISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
411 S LONG BEACH BLVD, COMPTON, CA 90221-3427
(310) 537-2217
Mailing address
411 S LONG BEACH BLVD, COMPTON, CA 90221-3427
(310) 537-2217
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
37330
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37330
—
CA
05
—
G9379201
—
CA
Enumeration date
02/05/2007
Last updated
10/04/2012
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