ULISES CARBALLOSA FERNANDEZ
Dentist - General Practice
Active
Individual
NPI: 1558051367
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | RES.004578 (OH) |
| Dentist - General Practice | 1223G0001X | Yes | 30.028142 (OH) |
Frequently Asked Questions
NPI 1558051367 is the National Provider Identifier for ULISES CARBALLOSA FERNANDEZ, a Dentist - General Practice provider located in Ashtabula, OH. This NPI was enumerated on May 15, 2023.
ULISES CARBALLOSA FERNANDEZ practices at 2203 LAKE AVE, Ashtabula, OH 44004.
Quick Facts
- NPI
- 1558051367
- Type
- Individual
- Enumerated
- May 15, 2023
- Last Updated
- Jul 17, 2025
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