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Organization

EDITH FERNANDEZ DMD,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDITH FERNANDEZ DMD (DENTIST)
(305) 262-0509
Entity
Organization

Contact information

Practice address
8560 SW 8TH ST, MIAMI, FL 33144-4053
(305) 262-0509
(305) 262-1823
Mailing address
8560 SW 8TH ST, MIAMI, FL 33144-4053
(305) 262-0509
(305) 262-1823

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16078
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
075391200
FL
Enumeration date
08/22/2006
Last updated
07/27/2015
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