Organization
CRISTIAN J FERNANDEZ DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIAN FERNANDEZ DDS (CEO/PROVIDER)
(209) 521-5486
Entity
Organization
Contact information
Practice address
2355 S R VALLEY BLVD STE 205, SAN RAMON, CA 94583-1523
(209) 521-5486
Mailing address
803 COFFEE RD STE B, MODESTO, CA 95355-4227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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