| Lupita Fernandez, Dmd, Ps | |
|
1711 E Division St Mount Vernon WA 98274-4501 | |
| (360) 424-7089 | |
| Not Available |
| Full Name | Lupita Fernandez, Dmd, Ps |
|---|---|
| Speciality | Dentist |
| Location | 1711 E Division St, Mount Vernon, Washington |
| Authorized Official Name and Position | Lupita Fernandez (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3603879202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lupita Fernandez, Dmd, Ps 1711 E Division St Mount Vernon WA 98274-4501 Ph: (360) 424-7089 | Lupita Fernandez, Dmd, Ps 1711 E Division St Mount Vernon WA 98274-4501 Ph: (360) 424-7089 |
| NPI Number | 1598111486 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 05/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598111486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00007379 (Washington) | Primary |
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