Individual
JENNIFER HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1775 GRAND CONCOURSE, BRONX, NY 10453-8202
(718) 901-8400
Mailing address
6601 BROADWAY APT 7C, BRONX, NY 10471-2073
(347) 702-0077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
NY
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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