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 |