Ivette M. Fernandez DMD

NPI 1053717108 - Dentist - 1223G0001X

NPI Details
NPI 1053717108
Gender Female
Enumeration Date 11/17/2014
Last Updated 06/08/2016
Entity Type Individual
Active Over 2 years ago
Practice Location
502 E OLYMPIA AVE
PUNTA GORDA FL, 33950-3838, US
Phone (941) 639-1124
Fax (941) 639-6527
Business Location
502 E OLYMPIA AVE
PUNTA GORDA FL, 33950-3838, US
Phone (941) 639-1124
Fax (305) 246-4535
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN15145
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According to our database, Dr. Ivette M. Fernandez DMD NPI is 1053717108, taxonomy code is 1223G0001X and license number is DN15145, license state is located at Florida. Ivette M. Fernandez DMD physically located at 502 E Olympia Ave, Punta Gorda FL, 33950-3838. NPI Number Ivette M. Fernandez DMD has the Individual type.

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1053717108 NPI number is provided on an as is basis without warranty of any kind. 1053717108 is maintained by the National Plan & Provider Enumeration System. The contents of Ivette M. Fernandez DMD are for informational purposes only.