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Dr. Vivian Fernandez
General Practice Dentistry in Elk Grove, California
NPI 1124165261

Vivian Fernandez is a General Practice Dentistry based in Elk Grove, CA and is specialized in General Practice. Vivian Fernandez practices in Elk Grove, CA. The NPI Number for Vivian Fernandez is 1124165261 and holds a License No. 54142 (California).

The current practice location address for Vivian Fernandez is 9340 W Stockton Blvd, Elk Grove, CA and can be reached out via phone at 916-683-5732.

Location: 9340 W Stockton Blvd, Elk Grove, CA, 95624-5061
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124165261
Provider Name
Vivian Fernandez
Credential
Provider Entity Type
Individual
Gender
Female
Address
9340 W Stockton Blvd, Elk Grove, CA, 95624-5061
Phone Number
916-683-5732
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D54142 05 CA
institution
Provider Business Practice Location Address Details
Address
9340 W Stockton Blvd
City
Elk Grove
State
California
Zip
95758-8014
Phone Number
916-683-5732
Fax Number
person
Provider Business Mailing Address Details
Address
9340 W Stockton Blvd
City
Elk Grove
State
California
Zip
95758-8014
Phone Number
916-683-5732
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
54142 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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