Organization · Type 2 NPI
Lizeth Fajardo
Oral and Maxillofacial Surgery (Dentist) · Tijuana, MX
NPI number
1003185547
Active
Practice location
10122 J Clemente Orozco St, Suite 408
Tijuana, MX 22000
Mailing address
PO Box 210116
Chula Vista, CA 91921-0116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 4928930 (ZZ) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
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About NPI 1003185547
Lizeth Fajardo's National Provider Identifier is 1003185547, issued on Dec 28, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tijuana, MX. The record was last updated on Dec 28, 2011.