Individual
YOLANDA M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5115 W THOMAS RD, PHOENIX, AZ 85031-3944
(602) 233-3133
(602) 278-3139
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 546-3333
(719) 546-3334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6215
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
917586
—
AZ
Enumeration date
12/26/2005
Last updated
12/12/2013
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