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Individual

DR. THOMAS LOWELL FERNANDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
313 N SPOKANE ST, POST FALLS, ID 83854-9513
(208) 773-4579
Mailing address
313 N SPOKANE ST, POST FALLS, ID 83854-9513

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D4886
ID
1223G0001X
General Practice Dentistry
D8279
AZ
1223G0001X
General Practice Dentistry
Primary
DE60802224
WA

Other

Enumeration date
07/26/2011
Last updated
08/05/2026
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