Individual
ALI HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
511 S MANGUM ST APT 1042, DURHAM, NC 27701-1002
(336) 318-5815
Mailing address
525 E PRESNELL ST, ASHEBORO, NC 27203-4814
(336) 318-5815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12746
NC
Other
Enumeration date
02/26/2021
Last updated
04/10/2023
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