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Organization
FERNANDO B. FERNANDEZ, DDS APC
Active
Organization
FERNANDO B. FERNANDEZ, DDS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO BARR FERNANDEZ D.D.S. (DENTIST/OWNER)
(323) 722-6360
Entity
Organization
Contact information
Practice address
5740 E OLYMPIC BLVD, COMMERCE, CA 90022-5120
(323) 722-6360
(323) 722-6355
Mailing address
5740 E OLYMPIC BLVD, COMMERCE, CA 90022-5120
(323) 722-6360
(323) 722-6355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49517
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007225604
AETNA
CA
01
—
11894501
DENTAL BENEFITS PROVIDERS
CA
01
—
130881
GUARDIAN
CO
01
—
1621125
UNITED CONCORDIA
CA
01
—
44021
PACIFICARE
CA
01
—
7022774
UNITED HEALTHCARE
CA
01
—
B4951701
DELTA DENTAL HEALTHY FAMILIES PROGRAM
CA
05
—
G9314501
—
CA
Enumeration date
04/12/2010
Last updated
04/12/2010
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