Individual
CARLOS ENRIQUE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., P.A.
Contact information
Practice address
8539 NW 186TH ST, HIALEAH, FL 33015-2555
(305) 829-2160
(305) 829-3989
Mailing address
8539 NW 186TH ST, HIALEAH, FL 33015-2555
(305) 829-2160
(305) 829-3989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0012692
FL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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