Individual
DR. JACINTA M FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
10 HOLDEN ST, SUITE 5, MALDEN, MA 02148-5238
(781) 321-6006
Mailing address
10 HOLDEN ST, SUITE 5, MALDEN, MA 02148-5238
(781) 321-6006
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
18968
MA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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