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Provider Information for 1881002764



DR. ADRIAN FERNANDEZ D.M.D

Gender: MALE

Individual NPI: 1881002764

Calendar Last Updated: 2014-07-23

Details

Name Value
NPI 1881002764
Enumeration Date 2014-07-23
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3148 W 76TH ST
HIALEAH GARDENS, FL 33018-3886
United States

Phone: 305-557-1448 | Fax:
View Map External Link
Primary Practice Address 3148 W 76TH ST
HIALEAH GARDENS, FL 33018-3886
United States

Phone: 305-557-1448 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice FL DN17130