Kevin Matthew Fernando Valid NPI
Individual provider · Dentist · Walnut Creek, CA
- NPI
- 1386128239
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 102927 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-09-17
- Last updated
- 2021-12-15
Practice location
1901 Olympic Blvd Ste 105
Walnut Creek, CA 94596-5024
(925) 935-3030