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Individual

FRED HERNANDEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
100 MEDICAL DR, PALESTINE, TX 75801-4780
(903) 729-7286
(903) 729-6395
Mailing address
313 W PARKER ST, SUITE A, ELKHART, TX 75839-7612
(903) 764-5531
(903) 764-0343

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31186
TX

Other

Enumeration date
07/13/2015
Last updated
07/13/2015
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