| NPI | 1366655011 |
|---|---|
| Former Legal Business Name | VALERIE B. FAJEN, D.D.S., M.S. |
| Entity Type | Organization |
| Authorized Contact | VALERIE B. FAJEN President 936-875-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 15126) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-09-04 |