Organization
BOULEVARD DENTAL ASSOCIATES, LLC
Active
Other names
Boulevard Dental Associates, llc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDIO HERNANDEZ DDS (DOCTOR)
(954) 538-9993
Entity
Organization
Contact information
Practice address
10794 PINES BLVD STE 204, PEMBROKE PINES, FL 33026-3920
(954) 538-9993
(954) 538-9994
Mailing address
10794 PINES BLVD STE 204, PEMBROKE PINES, FL 33026-3920
(954) 538-9993
(954) 538-9994
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN12326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427594258
1427594258
FL
Enumeration date
06/13/2018
Last updated
06/13/2018
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