Individual
ADELEYDIS QUINTANA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5580 CORTEZ RD W, BRADENTON, FL 34210-2817
(941) 914-9181
(941) 914-9161
Mailing address
25513 SW 127TH PL, HOMESTEAD, FL 33032-9018
(786) 400-6866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25884
FL
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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