Individual
DR. PEDRO J HERNANDEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
491 21 AVENUE FIRST FLOORS, SUITE # 2, PATERSON, NJ 07513-1656
(973) 247-9700
(973) 247-9781
Mailing address
HERNANDEZ DENTAL OFFICE, 491 21 AVENUE FIRST FLOORS, PATERSON, NJ 07513-1656
(973) 247-9700
(973) 247-9781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D102037400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8393206
—
NJ
Enumeration date
09/29/2006
Last updated
07/08/2007
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