Nichole Fernandes, DENTAL HYGIENIST

NPI #1740697424 in Jbphh, Hawaii

Provider Information

NPI Number: 1740697424
Entity Type: Individual
Name: Nichole Fernandes, DENTAL HYGIENIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENIST
Enumeration Date: Jul 15, 2014
Last Updated: Jul 15, 2014

Practice Location

Address: 755 SCOTT CIR
City: Jbphh
State: Hawaii
ZIP Code: 96853-5399
Phone: (808) 448-6371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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