Lupita Fernandez, Dmd, Ps

NPI #1598111486 in Mount Vernon, Washington

Provider Information

NPI Number: 1598111486
Entity Type: Organization
Organization Name: Lupita Fernandez, Dmd, Ps
Primary Specialty: Dentist
Enumeration Date: May 10, 2016
Last Updated: May 10, 2016

Practice Location

Address: 1711 E DIVISION ST
City: Mount Vernon
State: Washington
ZIP Code: 98274-4501
Phone: (360) 424-7089

Authorized Official

Name: DR. LUPITA FERNANDEZ, DMD
Title: PRESIDENT/DENTIST
Phone: (360) 387-9202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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