Provider Demographics
NPI:1881752707
Name:LAJOY, JOHN DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DAVID
Last Name:LAJOY
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 1:13867 FOOTHILL BLVD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-3008
Mailing Address - Country:US
Mailing Address - Phone:818-362-0435
Mailing Address - Fax:818-362-6305
Practice Address - Street 1:13867 FOOTHILL BLVD
Practice Address - Street 2:SUITE 114
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-3008
Practice Address - Country:US
Practice Address - Phone:818-362-0435
Practice Address - Fax:818-362-6305
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA033032122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB33032-01OtherDENTI-CAL