Individual
DR. GREDELL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2509 W CREST AVE STE 4, TAMPA, FL 33614-6839
(813) 877-4638
(813) 872-0689
Mailing address
2509 W CREST AVE STE 4, TAMPA, FL 33614-6839
(813) 877-4638
(813) 872-0689
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 13251
FL
Other
Enumeration date
11/13/2006
Last updated
02/27/2012
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