Whalio Doctors

NPI 1457455081

Michael Anthony Fernandez, DDS

Practitioner General Practice Dentistry Dededo, GU

Practice location

Address
148 Loreta St STE B, Dededo, GU 96929-5376
Phone
(671) 633-1995
Fax
(671) 633-1996

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence D975 (GU)

Registry record

NPI
1457455081
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.