Organization
LILIAM HERNANDEZ DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIAM HERNANDEZ DMD (PRESIDENT)
(786) 378-9988
Entity
Organization
Contact information
Practice address
18253 SW 5TH ST, PEMBROKE PINES, FL 33029-4310
(786) 378-9988
Mailing address
18253 SW 5TH ST, PEMBROKE PINES, FL 33029-4310
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21643
FL
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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