Mylene Palencia Fernan, RDA
NPI #1134408560 in Hawthorne, California
Provider Information
- NPI Number
- 1134408560
- Entity Type
- Individual
- Name
- Mylene Palencia Fernan, RDA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Assistant
- Credential
- RDA
- Enumeration Date
- Aug 16, 2011
- Last Updated
- Aug 16, 2011
Practice Location
- Address
- 12730 HAWTHORNE BLVD
- Address 2
- SUITE D
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-3919
- Phone
- (310) 644-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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