| NPI | 1336318526 |
|---|---|
| Former Legal Business Name | CLARA P FAJARDO DDS PC |
| Entity Type | Organization |
| Authorized Contact | CLARA PATRICIA FAJARDO Dentist 623-815-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 07640102J) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |