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1407999139
JAIME JOSE FERNANDEZ
MELVILLE, NY
NPI
1407999139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 045094)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
Dr. JAIME JOSE FERNANDEZ DDS
458 OLD COUNTRY RD
MELVILLE, NY 11747-1825
Phone number: 631-423-6767
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Mailing Address
Dr. JAIME JOSE FERNANDEZ DDS
11 TERRACE PL
HICKSVILLE, NY 11801-4335
Phone number: 516-827-1989
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