| Omar Jesus Fernandez Dds Inc | |
|
5841 Firestone Blvd Suit C South Gate CA 90280-3716 | |
| (562) 806-8611 | |
| (562) 806-8615 |
| Full Name | Omar Jesus Fernandez Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5841 Firestone Blvd, South Gate, California |
| Authorized Official Name and Position | Omar Jesus Fernandez (PRESIDENT) |
| Authorized Official Contact | 5628068611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omar Jesus Fernandez Dds Inc 5841 Firestone Blvd Suit C South Gate CA 90280-3716 Ph: (562) 806-8611 | Omar Jesus Fernandez Dds Inc 5841 Firestone Blvd Suit C South Gate CA 90280-3716 Ph: (562) 806-8611 |
| NPI Number | 1194925636 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194925636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53449 (California) | Primary |
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