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Dr. HIRAN R FERNANDO DDS

Individual Provider (NPI-1) Active

Dentist, Oral and Maxillofacial Surgery

Provider Information

NPI Number
1164634135
Provider Type
Individual Provider (NPI-1)
Credentials
DDS
Status
Active

Contact & Location

Address
165 N. MERAMEC AVE SUITE 300, CLAYTON, MO, 631053772
Phone
(314) 726-2755
Fax
(314) 726-9538

Specialties & Taxonomies

Dentist License: TX #23369
Student in an Organized Health Care Education/Training Program License: NY #P56783
Dentist, Oral and Maxillofacial Surgery Primary License: MO #2011001387

All Addresses

LOCATION

165 N. MERAMEC AVE SUITE 300

CLAYTON, MO, 631053772

(314) 726-2755

MAILING

165 N. MERAMEC AVE SUITE 300

CLAYTON, MO, 631053772

(314) 726-2755