DR. Jesse Michael Fa, D.D.S

NPI #1629291091 in Brentwood, California

Provider Information

NPI Number: 1629291091
Entity Type: Individual
Name: DR. Jesse Michael Fa, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: D.D.S
Enumeration Date: Apr 11, 2007
Last Updated: Apr 8, 2020

Practice Location

Address: 2201 BALFOUR RD STE E
City: Brentwood
State: California
ZIP Code: 94513-4927
Phone: (925) 308-7908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

Provider Name	Specialty	City
Jesse M. Fa, Dds, INC	Dentist - Oral and Maxillofacial Surgery	Brentwood	AI Deep Dive

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