Individual
DR. MIGUEL EDUARDO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 S INDEPENDENCE BLVD, SUITE 102, VIRGINIA BEACH, VA 23452-1152
(757) 497-4825
(757) 497-1206
Mailing address
520 S INDEPENDENCE BLVD, SUITE 102, VIRGINIA BEACH, VA 23452-1152
(757) 497-4825
(757) 497-1206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410283
VA
Other
Enumeration date
07/24/2006
Last updated
03/07/2017
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