IndividualActive
Angel Mogrovejo Fajardo, DDS, MS
NPI 1831532829 · Periodontics · Williamsburg, VA
Provider details
- NPI number
- 1831532829
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- No
- License
- 0401415449 (VA)
Practice location
461 Mclaws Cir Ste 1
Williamsburg, VA 23185-6350
Phone: (757) 221-0249
Mailing address
461 Mclaws Cir Ste 1
Williamsburg, VA 23185-6350
Registry dates
- Enumerated
- 2013-04-10
- Last updated
- 2019-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.