Individual
DR. JUNIOR J FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4901 NW 4TH ST, MIAMI, FL 33126-5105
(305) 446-8115
(305) 446-5023
Mailing address
2041 SW 106TH CT, MIAMI, FL 33165-7942
(305) 807-8827
(305) 223-6935
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 17590
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN 17590
DENTAL LICENSE NUMBER
FL
Enumeration date
05/21/2007
Last updated
07/08/2007
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