Individual provider · Type 1 NPI

Angel Fernando Mogrovejo Fajardo, DDS, MS

Periodontics · Williamsburg, VA

NPI number 1831532829 Active

Practice location

461 Mclaws Cir Ste 1
Williamsburg, VA 23185-6350

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X0401415449 (VA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1831532829

Angel Fernando Mogrovejo Fajardo, DDS, MS's National Provider Identifier is 1831532829, issued on Apr 10, 2013. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Williamsburg, VA. The record was last updated on Mar 11, 2019.