Individual
MALENA PATRICIA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(786) 293-5502
Mailing address
5400 SW 77TH CT APT 2H, MIAMI, FL 33155-4328
(786) 879-2381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN23756
FL
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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