Individual
GAIL P FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
339 HANCOCK ST, NORTH QUINCY, MA 02171-2438
(617) 328-4600
Mailing address
339 HANCOCK ST, NORTH QUINCY, MA 02171-2438
(617) 328-4600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20295
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X10762
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/30/2006
Last updated
07/22/2025
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