Individual
AURELIO JOSE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9299 SW 152ND ST, SUITE 204, VILLAGE OF PALMETTO BAY, FL 33157-1775
(305) 235-8912
(305) 235-8916
Mailing address
9299 SW 152ND ST, SUITE 204, VILLAGE OF PALMETTO BAY, FL 33157-1775
(305) 235-8912
(305) 235-8916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13931
FL
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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