Individual
ISABELLA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
96 N MAIN ST, RANDOLPH, MA 02368-4606
(781) 963-8600
Mailing address
7601 SW 175TH ST, PALMETTO BAY, FL 33157-6316
(305) 710-1266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000810
MA
Other
Enumeration date
06/04/2025
Last updated
08/21/2025
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