Individual
DR. MARIOLY FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4355 W 16TH AVE, 205A, HIALEAH, FL 33012-7666
(305) 824-9199
(305) 824-8885
Mailing address
4355 W 16AVE, 205A, HIALEAH, FL 33012
(395) 824-9199
(305) 824-8885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17604
FL
Other
Enumeration date
06/10/2011
Last updated
06/22/2011
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