Individual
MARICARMEN FERNANDEZ I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8110
(978) 627-8349
Mailing address
17 HIGH OAKS PATH, GROTON, MA 01450-1037
(978) 735-8431
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15589
MA
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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