| Jimena Fernandez | |
|
3833 Tree Top Dr Weston FL 33332-2137 | |
| (954) 632-0171 | |
| Not Available |
| Full Name | Jimena Fernandez |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3833 Tree Top Dr, Weston, Florida |
| Authorized Official Name and Position | Jimena Fernandez (PRESIDENT) |
| Authorized Official Contact | 9546320171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimena Fernandez 3833 Tree Top Dr Weston FL 33332-2137 Ph: (954) 632-0171 | Jimena Fernandez 3833 Tree Top Dr Weston FL 33332-2137 Ph: (954) 632-0171 |
| NPI Number | 1386764660 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 02/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386764660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN16438 (Florida) | Primary |
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