DR. Michael A Fajardo

NPI #1518285162 in Nellis Afb, Nevada

Provider Information

NPI Number: 1518285162
Entity Type: Individual
Name: DR. Michael A Fajardo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: May 6, 2010
Last Updated: Nov 19, 2018

Practice Location

Address: 4700 LAS VEGAS BLVD N
City: Nellis Afb
State: Nevada
ZIP Code: 89191-6600
Phone: (702) 653-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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