Individual
DR. GLENDALY FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
(718) 887-8767
Mailing address
2515 E ELLIOTT ST, WICHITA FALLS, TX 76308-3708
(940) 696-9701
(940) 691-8425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31663
TX
122300000X
Dentist
50 053980
NY
Other
Enumeration date
07/30/2008
Last updated
08/13/2019
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