FERNANDO R BREA SOTO

BRONX, NY
NPI1699191015
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: PR  1705)
Enumeration Date2014-03-10
Last Update Date2014-03-12
Business Address
-- FERNANDO R BREA SOTO DMD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4167
Mailing Address
-- FERNANDO R BREA SOTO DMD
1447C CALLE ESTRELLA APT B-1306
SAN JUAN, PR 00907-2351
Phone number: 347-270-6263
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