Individual
DR. BEATRIZ DEFAUS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1901 SW 1ST ST, MIAMI, FL 33135-1601
(305) 576-1234
Mailing address
1304 W 38TH PL, HIALEAH, FL 33012-4777
(786) 499-5350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN24481
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2017
Last updated
11/14/2022
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