JAIME JOSE FERNANDEZ

MELVILLE, NY
NPI1407999139
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  045094)
Enumeration Date2007-02-14
Last Update Date2007-07-08
Business Address
Dr. JAIME JOSE FERNANDEZ DDS
458 OLD COUNTRY RD
MELVILLE, NY 11747-1825
Phone number: 631-423-6767
Mailing Address
Dr. JAIME JOSE FERNANDEZ DDS
11 TERRACE PL
HICKSVILLE, NY 11801-4335
Phone number: 516-827-1989