Individual
ARIEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 TOWNE DR, ELIZABETHTOWN, KY 42701-8466
(270) 600-0096
Mailing address
2802 JUNIPER HILL CT, LOUISVILLE, KY 40206-2909
(504) 914-8503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11198
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2024
Last updated
06/26/2024
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