Organization
MIGUEL FERNANDEZ DDS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL EDUARDO FERNANDEZ DDS (PRESIDENT)
(747) 497-4825
Entity
Organization
Contact information
Practice address
520 S INDEPENDENCE BLVD STE 102, VIRGINIA BEACH, VA 23452-1152
(757) 497-4825
(757) 497-1206
Mailing address
520 S INDEPENDENCE BLVD STE 102, VIRGINIA BEACH, VA 23452-1152
(757) 497-4825
(757) 497-1206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/26/2007
Last updated
03/14/2025
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