Glendaly Fernandez, Pllc

NPI #1629420666 in Wichita Falls, Texas

Provider Information

NPI Number: 1629420666
Entity Type: Organization
Organization Name: Glendaly Fernandez, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 1, 2016
Last Updated: Jul 1, 2016

Practice Location

Address: 2515 E ELLIOTT ST
City: Wichita Falls
State: Texas
ZIP Code: 76308-3708
Phone: (940) 696-9701

Authorized Official

Name: DR. GLENDALY FERNANDEZ, DDS
Title: OWNER/PROVIDER
Phone: (940) 696-9701

Specialties & Taxonomy Codes

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

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