Individual
DR. CARLOS GERARD HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2005 ROOSEVELT RD # B, VALPARAISO, IN 46383-2746
(219) 531-9293
Mailing address
2119 KELLE DR APT 203, CHESTERTON, IN 46304-8985
(260) 388-1812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013868A
IN
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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