Individual
DR. PABLO A FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
1801 W WISCONSIN AVE, ROOM 141, MILWAUKEE, WI 53233-2186
(414) 288-7388
Mailing address
10190 W PLUM TREE CIR, APT 203, HALES CORNERS, WI 53130-2660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001187-15
WI
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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