Individual
BLANCA N ACOSTA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
400 W 65TH ST, HIALEAH, FL 33012-6640
(305) 827-0434
Mailing address
19592 NW 82ND PL, HIALEAH, FL 33015-5992
(786) 870-2897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28364
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
08/07/2023
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