Traci R. Fernandes, Dds, INC

NPI #1225042120 in Pismo Beach, California

Provider Information

NPI Number
1225042120
Entity Type
Organization
Organization Name
Traci R. Fernandes, Dds, INC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jul 28, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
901 OAK PARK BLVD
Address 2
SUITE 203
ZIP Code
93449-3216
Phone
(805) 489-8232

Authorized Official

Name
TRACI R. FERNANDES, DDS, MS
Title
ORTHODONTIST
Phone
(805) 489-8232

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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