Provider Demographics
NPI:1285813626
Name:PARAJON, CARLOS J (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:J
Last Name:PARAJON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:7155 N PORT WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-3841
Mailing Address - Country:US
Mailing Address - Phone:414-352-1600
Mailing Address - Fax:414-352-1780
Practice Address - Street 1:30486 AVENIDA DE LAS BANDERAS STE A
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-3948
Practice Address - Country:US
Practice Address - Phone:949-216-9090
Practice Address - Fax:929-713-9471
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI47661223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics