Individual
CRYSTAL ITZAMAR HERNANDEZ ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
190 CEDAR BEND DR, HELENA, AL 35080-3327
(334) 859-7965
Mailing address
190 CEDAR BEND DR, HELENA, AL 35080-3327
(334) 859-7965
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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