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1124165261
VIVIAN FERNANDEZ
ELK GROVE, CA
NPI
1124165261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 54142)
Enumeration Date
2007-01-30
Last Update Date
2023-06-20
Business Address
Dr. VIVIAN FERNANDEZ
9340 W STOCKTON BLVD
ELK GROVE, CA 95758-8014
Phone number: 916-683-5732
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Mailing Address
Dr. VIVIAN FERNANDEZ
9320 ELK GROVE BLVD STE 170
ELK GROVE, CA 95624-5061
Phone number: 916-714-5422
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