| NPI | 1215061627 |
|---|---|
| Doing Business As | BEARD FERNANDEZ DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MANUEL J FERNANDEZ Partner 818-225-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 15599) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 27230) |
| 122300000X Dentist (Licence: CA 35581) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-05-24 |