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Organization
GLENDALY FERNANDEZ, PLLC
Active
Organization
GLENDALY FERNANDEZ, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENDALY FERNANDEZ DDS (OWNER/PROVIDER)
(940) 696-9701
Entity
Organization
Contact information
Practice address
2515 E ELLIOTT ST, WICHITA FALLS, TX 76308-3708
(940) 696-9701
Mailing address
2515 E ELLIOTT ST, WICHITA FALLS, TX 76308-3708
(940) 696-9701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31663
TX
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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