Fajardo, Jose
Fajardo, Jose is an individual health care provider with primary practice located at 5720 Buford Hwy Suite 101, Norcross GA 30071-2577. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fajardo, Jose can be contacted via phone (770) 368-1818.Contact Information
Primary practice address
5720 Buford Hwy Suite 101
Norcross GA 30071-2577
Phone: (770) 368-1818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 011347 | Georgia |
Profile Details
| NPI number | 1124423934 |
|---|---|
| LBN Legal business name | Fajardo, Jose |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2014 |
| Last updated | Oct 23rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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