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Dr. Jose Agapito Tiu Fajardo JR., DMD
General Practice Dentistry in El Monte, California
NPI 1699957696

Jose Agapito Tiu Fajardo JR. is a General Practice Dentistry based in El Monte, CA and is specialized in General Practice. Jose Agapito Tiu Fajardo JR. practices in El Monte, CA and has the professional credentials of DMD. The NPI Number for Jose Agapito Tiu Fajardo JR. is 1699957696 and holds a License No. 56587 (California).

The current practice location address for Jose Agapito Tiu Fajardo JR. is 10920 Valley Blvd, El Monte, CA and can be reached out via phone at 626-582-8818.

Location: 10920 Valley Blvd, El Monte, CA, 91731-2515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699957696
Provider Name
Jose Agapito Tiu Fajardo JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
10920 Valley Blvd, El Monte, CA, 91731-2515
Phone Number
626-582-8818
Fax Number
Provider Enumeration Date
11/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689982050 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
10920 Valley Blvd
City
El Monte
State
California
Zip
91731-2515
Phone Number
626-582-8818
Fax Number
person
Provider Business Mailing Address Details
Address
10920 Valley Blvd
City
El Monte
State
California
Zip
91731-2515
Phone Number
626-582-8818
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
56587 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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