Individual
MRS. LUS BIANA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3571 N 1ST ST STE 203, SAN JOSE, CA 95134-1803
(408) 230-2432
Mailing address
3571 N 1ST ST STE 203, SAN JOSE, CA 95134-1803
(408) 230-2432
(408) 230-2432
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
73771
CA
Other
Enumeration date
07/15/2017
Last updated
07/15/2017
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