Individual
DR. MARCO TULIO FAJARDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
380 W DIEHL RD, NAPERVILLE, IL 60563-1277
(630) 393-3045
(630) 393-3920
Mailing address
340 TUPELO AVE, NAPERVILLE, IL 60540-7828
(630) 327-9295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-023251
IL
Other
Enumeration date
08/30/2006
Last updated
02/15/2023
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