Individual
ALEXANDER LAZARO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
565 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33880-4406
(863) 656-4777
Mailing address
1 S PINE ISLAND RD APT 105, PLANTATION, FL 33324-2615
(786) 718-8797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29154
FL
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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