Omar Jesus Fernandez DDS INC
NPI #1194925636 in South Gate, California
Provider Information
- NPI Number
- 1194925636
- Entity Type
- Organization
- Organization Name
- Omar Jesus Fernandez DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 23, 2007
- Last Updated
- Jul 23, 2007
Practice Location
- Address
- 5841 FIRESTONE BLVD
- Address 2
- SUIT C
- City
- South Gate
- State
- California
- ZIP Code
- 90280-3716
- Phone
- (562) 806-8611
Authorized Official
- Name
- DR. OMAR JESUS FERNANDEZ, DDS
- Title
- PRESIDENT
- Phone
- (562) 806-8611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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