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DR. MARIO HERNANDEZ D.D.S

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1487820296

Individual Registrant:
DR. MARIO  HERNANDEZ D.D.S
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1870 FOREST HILL BLVD SUITE 103 LAKE CLARKE SHORES, FL 33406-8901 US
Tel: 561-585-5891  Fax: 561-586-6014

Contact information for business:
1870 FOREST HILL BLVD SUITE 103 LAKE CLARKE SHORES, FL 33406-8901 US
Tel: 561-585-5891  Fax: 561-586-6014

Registration Information:
NPI: 1487820296
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FLDN0013087

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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