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Jesse M. Fa, Dds, Inc
Oral and Maxillofacial Surgery (Dentist) in Antioch, California
NPI 1104349760

Jesse M. Fa, Dds, Inc is a Oral and Maxillofacial Surgery (Dentist) based in Antioch, CA and is specialized in Oral and Maxillofacial Surgery. Jesse M. Fa, Dds, Inc practices in Antioch, CA. The NPI Number for Jesse M. Fa, Dds, Inc is 1104349760 and holds a License No. (California).

The current practice location address for Jesse M. Fa, Dds, Inc is 2730 Lone Tree Way Ste 7, Antioch, CA and can be reached out via phone at 925-757-2217 and via fax at 925-757-6417. You can also correspond with Jesse M. Fa, Dds, Inc through the mailing address at 2730 LONE TREE WAY STE 7, ANTIOCH, CA - 94509-4964 (mailing address contact number: 925-757-2217).

Location: 2730 Lone Tree Way Ste 7, Antioch, CA, 94509-4964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104349760
Provider Name
Jesse M. Fa, Dds, Inc
Credential
Provider Entity Type
Organization
Address
2730 Lone Tree Way Ste 7, Antioch, CA, 94509-4964
Phone Number
925-757-2217
Fax Number
925-757-6417
Provider Enumeration Date
07/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2730 Lone Tree Way Ste 7
City
Antioch
State
California
Zip
94509-4964
Phone Number
925-757-2217
Fax Number
925-757-6417
person
Provider Business Mailing Address Details
Address
2730 Lone Tree Way Ste 7
City
Antioch
State
California
Zip
94509-4964
Phone Number
925-757-2217
Fax Number
925-757-6417
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
(California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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