DR. Nicole K.i. Fernandez

NPI #1982001566 in Las Vegas, Nevada

Provider Information

NPI Number: 1982001566
Entity Type: Individual
Name: DR. Nicole K.i. Fernandez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Nov 26, 2014
Last Updated: Jul 18, 2015

Practice Location

Address: 6525 N DECATUR BLVD
Address 2: SUITE 150
City: Las Vegas
State: Nevada
ZIP Code: 89131-2992
Phone: (702) 577-1941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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