Individual
ALEXIA SIMAO FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSC, DDS
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00206239
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/25/2024
Last updated
10/26/2025
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