Organization
BEARD APC & FERNANDEZ ADC DENTAL GROUP
Active
Other names
Beard Fernandez Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL J FERNANDEZ III D.D.S. (PARTNER)
(818) 225-0046
Entity
Organization
Contact information
Practice address
22600 VENTURA BLVD, SUITE 204, WOODLAND HILLS, CA 91364-1414
(818) 225-0046
(818) 225-1318
Mailing address
22600 VENTURA BLVD, SUITE 204, WOODLAND HILLS, CA 91364-1414
(818) 225-0046
(818) 225-1318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15599
CA
122300000X
Dentist
27230
CA
122300000X
Dentist
35581
CA
Other
Enumeration date
03/15/2007
Last updated
05/24/2022
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