Individual
KRIS J FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7520 PERKINS RD, SUITE 310, BATON ROUGE, LA 70808-9111
(225) 769-1652
(225) 769-9511
Mailing address
7520 PERKINS RD, SUITE 310, BATON ROUGE, LA 70808-9111
(225) 769-1652
(225) 769-9511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4548
LA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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