Individual
JANICE HERNANDEZ-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3000 E BROAD ST, STE 108, MANSFIELD, TX 76063-6696
(682) 341-0058
(682) 341-0063
Mailing address
PO BOX 860036 MINNEAPOLIS, MINNEAPOLIS, MN 55486-0001
(817) 842-2600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32889
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2015
Last updated
04/02/2025
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