Individual
DR. NICOLE K.I. FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6525 N DECATUR BLVD, SUITE 150, LAS VEGAS, NV 89131-2992
(702) 577-1941
Mailing address
7321 ASPIRE CT, LAS VEGAS, NV 89113-1183
(808) 255-4748
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02589600
NJ
122300000X
Dentist
Primary
6609
NV
Other
Enumeration date
11/26/2014
Last updated
07/18/2015
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