Organization
MARIO HERNADEZ, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO HERNANDEZ DDS (DENTIST)
(561) 585-5891
Entity
Organization
Contact information
Practice address
1870 FOREST HILL BLVD, SUITE 103, LAKE CLARKE SHORES, FL 33406-8901
(561) 585-5891
(561) 586-6014
Mailing address
1870 FOREST HILL BLVD, SUITE 103, LAKE CLARKE SHORES, FL 33406-8901
(561) 585-5891
(561) 586-6014
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13087
FL
Other
Enumeration date
02/12/2007
Last updated
02/18/2016
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