Individual
GERMAN L FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14815 N DALE MABRY HWY, TAMPA, FL 33618-2027
(813) 264-1993
Mailing address
19512 WYNDMILL CIR, ODESSA, FL 33556-1717
(813) 317-4686
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
19080
FL
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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