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Organization
LESLIE K HERNANDEZ DMD PA
Active
Organization
LESLIE K HERNANDEZ DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE KAY HERNANDEZ DMD (DENTIST OWNER)
(813) 949-4568
Entity
Organization
Contact information
Practice address
19125 US HIGHWAY 41 NORTH, LUTZ, FL 33549
(813) 949-4568
(813) 949-5012
Mailing address
19125 US HIGHWAY 41 NORTH, LUTZ, FL 33549
(813) 949-4568
(813) 949-5012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
12/10/2012
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