NPI | 1578670782 |
---|---|
Former Legal Business Name | OLIVER FERNANDEZ DMD ST FRANCIS GENERAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | OLIVER M FERNANDEZ President Of Corporation 415-777-3337 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 45688) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2020-08-22 |