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Organization
LUPITA FERNANDEZ, DMD, PS
Active
Organization
LUPITA FERNANDEZ, DMD, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUPITA FERNANDEZ DMD (PRESIDENT/DENTIST)
(360) 387-9202
Entity
Organization
Contact information
Practice address
1711 E DIVISION ST, MOUNT VERNON, WA 98274-4501
(360) 424-7089
Mailing address
1711 E DIVISION ST, MOUNT VERNON, WA 98274-4501
(360) 424-7089
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00007379
WA
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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