Provider Demographics
NPI:1760649420
Name:PARDO, JAIME ARTURO (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:ARTURO
Last Name:PARDO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16026 ARROW HWY
Mailing Address - Street 2:
Mailing Address - City:IRWINDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91706-2011
Mailing Address - Country:US
Mailing Address - Phone:626-856-3459
Mailing Address - Fax:626-856-3598
Practice Address - Street 1:16026 ARROW HWY
Practice Address - Street 2:
Practice Address - City:IRWINDALE
Practice Address - State:CA
Practice Address - Zip Code:91706-2011
Practice Address - Country:US
Practice Address - Phone:626-856-3459
Practice Address - Fax:626-856-3598
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56575122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist