Organization · Type 2 NPI
Jesse M. Fa, Dds, Inc
Oral and Maxillofacial Surgery (Dentist) · Antioch, CA
NPI number
1104349760
Active
Practice location
2730 Lone Tree Way Ste 7
Antioch, CA 94509-4964
Fax (925) 757-6417
Other practice locations
- 2201 Balfour Rd Ste E, Brentwood, CA 94513-4927 · (925) 308-7908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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
Other oral and maxillofacial surgery (dentist) providers in Antioch
About NPI 1104349760
Jesse M. Fa, Dds, Inc's National Provider Identifier is 1104349760, issued on Jul 25, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Antioch, CA. The record was last updated on Mar 17, 2018.