| Dr. Fernandez Dental Office | |
|
1640 Madison St Apt 1 Ridgewood NY 11385-3450 | |
| (718) 456-0751 | |
| (718) 418-2407 |
| Full Name | Dr. Fernandez Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1640 Madison St Apt 1, Ridgewood, New York |
| Authorized Official Name and Position | Franklin Felipe Fernandez (GENERAL DENTIST) |
| Authorized Official Contact | 7184560751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Fernandez Dental Office 1640 Madison St Apt 1 Ridgewood NY 11385-3450 Ph: (718) 456-0751 | Dr. Fernandez Dental Office 1640 Madison St Apt 1 Ridgewood NY 11385-3450 Ph: (718) 456-0751 |
| NPI Number | 1134372196 |
|---|---|
| Provider Enumeration Date | 11/03/2008 |
| Last Update Date | 11/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134372196 | NPI | - | NPPES |
| 1780744466 | Other | NPI | |
| 1134118581 | Other | NY | NPI |
| 1417946583 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 045733-1 (New York) | Primary |
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