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Individual

RENE D FERNANDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4226 S DURANGO DR, SUITE 103, LAS VEGAS, NV 89147-8721
(702) 871-6180
Mailing address
4226 S DURANGO DR, SUITE 103, LAS VEGAS, NV 89147-8721
(702) 871-6180

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4059
NV

Other

Enumeration date
07/29/2008
Last updated
07/29/2008
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