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Ivette M Fernandez Dmd Pa
Dental Clinic/Center in Punta Gorda, Florida
NPI 1720098569

Ivette M Fernandez Dmd Pa is a Dental Clinic/Center based in Punta Gorda, FL and is specialized in Dental. Ivette M Fernandez Dmd Pa practices in Punta Gorda, FL. The NPI Number for Ivette M Fernandez Dmd Pa is 1720098569 and holds a License No. DN15145 (Florida).

The current practice location address for Ivette M Fernandez Dmd Pa is 502 E Olympia Ave, Punta Gorda, FL and can be reached out via phone at 941-639-1124.

Location: 502 E Olympia Ave, Punta Gorda, FL, 33950-3838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720098569
Provider Name
Ivette M Fernandez Dmd Pa
Credential
Provider Entity Type
Organization
Address
502 E Olympia Ave, Punta Gorda, FL, 33950-3838
Phone Number
941-639-1124
Fax Number
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
070543800 05 FL
institution
Provider Business Practice Location Address Details
Address
502 E Olympia Ave
City
Punta Gorda
State
Florida
Zip
33950-3838
Phone Number
941-639-1124
Fax Number
person
Provider Business Mailing Address Details
Address
502 E Olympia Ave
City
Punta Gorda
State
Florida
Zip
33950-3838
Phone Number
941-639-1124
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DN15145 (Florida)
Definition
Definition to come...
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