| Fernandez Torres Dds Llc | |
|
4738 Scotts Valley Dr Ste A Scotts Valley CA 95066-4239 | |
| (831) 438-0554 | |
| Not Available |
| Full Name | Fernandez Torres Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 4738 Scotts Valley Dr Ste A, Scotts Valley, California |
| Authorized Official Name and Position | Pablo Fenandez (OWNER) |
| Authorized Official Contact | 2092772876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernandez Torres Dds Llc 4738 Scotts Valley Dr Ste A Scotts Valley CA 95066-4239 Ph: (831) 438-0554 | Fernandez Torres Dds Llc 4738 Scotts Valley Dr Ste A Scotts Valley CA 95066-4239 Ph: (831) 438-0554 |
| NPI Number | 1851918262 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 07/13/2020 |
| Medicare PECOS PAC ID | 8123439882 |
|---|---|
| Medicare Enrollment ID | O20201201002772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851918262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
| Provider Name | Pablo Daniel Fernandez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407985666 PECOS PAC ID: 9032520796 Enrollment ID: I20210310002091 |
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