Paul Fern, DMD Valid NPI
Individual provider · General Practice Dentistry · Las Cruces, NM
- NPI
- 1932255742
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 2597 (NM)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-01-25
- Last updated
- 2007-07-08
Practice location
780 S Walnut St, Bldg 2
Las Cruces, NM 88001-1425
(505) 526-2273