Healthcare Provider Details

I. General information

NPI: 1952864654
Provider Name (Legal Business Name): LAURA AGUILAR-FERNANDEZ DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURA AGUILAR DDS

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 06/23/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 E GRANT AVE
WINTERS CA
95694-1780
US

IV. Provider business mailing address

PO BOX 5096
NAPA CA
94581-0096
US

V. Phone/Fax

Practice location:
  • Phone: 530-795-4377
  • Fax:
Mailing address:
  • Phone: 707-337-9389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number105364
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: