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
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 PracticeGeneral Practice

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