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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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice FL DN17130
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location