Individual
SANDRA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2680 EAST STATE HWY 114, SOUTHLAKE, TX 76092
(817) 251-2121
(817) 251-6259
Mailing address
2680 EAST STATE HWY 114, SOUTHLAKE, TX 76092
(817) 251-2121
(817) 251-6259
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23076
TX
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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