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Organization
JOANNE LYNNE S. FERNANDO,D.M.D.,INC
Active
Organization
JOANNE LYNNE S. FERNANDO,D.M.D.,INC
Active
Other names
Tustin Dental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNE LYNNE SANTARINA FERNANDO D.M.D. (PRESIDENT)
(714) 573-1086
Entity
Organization
Contact information
Practice address
13962 NEWPORT AVE STE C, TUSTIN, CA 92780-7827
(714) 573-1086
(714) 573-8239
Mailing address
13962 NEWPORT AVE STE C, TUSTIN, CA 92780-7827
(714) 573-1086
(714) 573-8239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54582
CA
Other
Enumeration date
10/25/2010
Last updated
05/02/2013
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