Individual
MICHAEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 451-2208
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 451-2208
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14096492-9926
UT
Other
Enumeration date
06/01/2023
Last updated
01/15/2026
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