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Organization

FERNANDEZDENTPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YENY FERNANDEZ (DENTIST OWNER)
(786) 873-6051
Entity
Organization

Contact information

Practice address
11776 SW 88TH ST, MIAMI, FL 33186-2102
(786) 873-6051
Mailing address
10985 SW 48TH ST, MIAMI, FL 33165-6114
(786) 873-6051

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN20110
FL

Other

Enumeration date
05/14/2018
Last updated
05/14/2018
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