Dr. Fernandez Dental Office

NPI #1134372196 in Ridgewood, New York

Provider Information

NPI Number: 1134372196
Entity Type: Organization
Organization Name: Dr. Fernandez Dental Office
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 3, 2008
Last Updated: Nov 3, 2008

Practice Location

Address: 1640 MADISON ST APT 1
City: Ridgewood
State: New York
ZIP Code: 11385-3450
Phone: (718) 456-0751

Authorized Official

Name: DR. FRANKLIN FELIPE FERNANDEZ, DDS
Title: GENERAL DENTIST
Phone: (718) 456-0751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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