| Dr Traci Rachelle Fernandes, DDS, MS | |
|
901 Oak Park Blvd Ste 203, Pismo Beach, CA 93449-3410 | |
| (805) 489-8232 | |
| (805) 489-8234 |
| Full Name | Dr Traci Rachelle Fernandes |
|---|---|
| Gender | Female |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 901 Oak Park Blvd Ste 203, Pismo Beach, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619610847 | NPI | - | NPPES |
| 1225042120 | Other | CA | NPI 2 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 41830 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Traci Rachelle Fernandes, DDS, MS 901 Oak Park Blvd Ste 203, Pismo Beach, CA 93449-3410 Ph: (805) 489-8232 | Dr Traci Rachelle Fernandes, DDS, MS 901 Oak Park Blvd Ste 203, Pismo Beach, CA 93449-3410 Ph: (805) 489-8232 |
Dr. Hobert Edmund Herber, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 901 Oak Park Blvd # 201, Pismo Beach, CA 93449 Phone: 805-489-5545 Fax: 805-489-2619 | |
Dr. John Andrew Wakeman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1090 Dolliver St, Pismo Beach, CA 93449 Phone: 805-773-2500 | |
Dr. Brian J Hanratty, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 509 Five Cities Dr, Pismo Beach, CA 93449 Phone: 805-773-2131 Fax: 805-773-8656 | |
Dr. Terrell Cohen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1090 Dolliver St, Pismo Beach, CA 93449 Phone: 805-773-2500 | |
William David Lockwood, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1090 Dolliver St, Pismo Beach, CA 93449 Phone: 805-773-2500 Fax: 805-773-0691 | |
Irma Del Carmen Perez Martinez, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 James Way, Suite 201, Pismo Beach, CA 93449 Phone: 805-773-1600 | |
Guy Alexander Jones, Dentist Medicare: Not Enrolled in Medicare Practice Location: 931 Oak Park Blvd, Suite 202, Pismo Beach, CA 93449 Phone: 805-489-7645 Fax: 805-489-7757 |