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Organization

HERNANDEZ DENTAL CARE, INC

Active
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Organization

HERNANDEZ DENTAL CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOEL HERNANDEZ D.D.S. (PRESIDENT)
(956) 318-0700
Entity
Organization

Contact information

Practice address
2106 W UNIVERSITY DR, EDINBURG, TX 78539-2862
(956) 318-0700
(956) 318-0781
Mailing address
2106 W UNIVERSITY DR, EDINBURG, TX 78539-2862
(956) 318-0700
(956) 318-0781

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16840
TX
1223G0001X
General Practice Dentistry
21786
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01637598
TRICARE ID# DR. VASQUEZ
TX
01
0848794
TRICARE ID# DR. HERNANDEZ
TX
01
B16840-01
CHIPS ID # DR. HERNANDEZ
TX
01
B21786-01
CHIP ID# DR. VASQUEZ
TX
Enumeration date
03/09/2007
Last updated
08/22/2020
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