Traci R. Fernandes, DDS, Inc
Traci R. Fernandes, DDS, Inc is an Orthodontics and Dentofacial Orthopedics Dentistry in Pismo Beach, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
901 Oak Park Blvd Ste 203Pismo Beach, CA 93449-3216
Phone: (805) 489-8232
Fax: (805) 489-8234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence 41830 (CA) |
|---|
Record details
| NPI number | 1225042120 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Traci Fernandes — Orthodontist · (805) 489-8232 |
| NPI enumerated | July 28, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 901 Oak Park Blvd, Suite 203, Pismo Beach, CA 93449-3216 |
Other providers in Pismo Beach
-
Dr. Traci Rachelle Fernandes, DDS, MS
901 Oak Park Blvd Ste 203, Pismo Beach, CA 93449-3410 · (805) 489-8232