Individual
KRYSTAL MIYENIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1024 SW 104TH ST UNIT B, OKLAHOMA CITY, OK 73139-2990
(405) 679-2339
Mailing address
101 NE 53RD ST APT 3003, OKLAHOMA CITY, OK 73105-1884
(580) 817-0773
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4695
OK
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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