Individual
LAURA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2350 BELMONT CIR SE, SMYRNA, GA 30080-1568
(678) 842-9912
Mailing address
1547 RIVER WALK TRL APT B, COLLEGE PARK, GA 30349-5774
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH043485
GA
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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