Jon Fernandez

NPI #1053179325 in Boston, Massachusetts

Provider Information

NPI Number: 1053179325
Entity Type: Individual
Name: Jon Fernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Mar 11, 2024
Last Updated: Jan 2, 2025

Practice Location

Address: 635 ALBANY ST
City: Boston
State: Massachusetts
ZIP Code: 02118-3550
Phone: (617) 358-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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