DR. Jose Fajardo, D.M.D

NPI #1124423934 in Norcross, Georgia

Provider Information

NPI Number: 1124423934
Entity Type: Individual
Name: DR. Jose Fajardo, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Oct 23, 2014
Last Updated: Oct 23, 2014

Practice Location

Address: 5720 BUFORD HWY
Address 2: SUITE 101
City: Norcross
State: Georgia
ZIP Code: 30071-2577
Phone: (770) 368-1818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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