Individual
MRS. HEATHER HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRDH
Contact information
Practice address
2200 RINGLING BLVD, SARASOTA, FL 34237-6102
(941) 529-0200
Mailing address
4180 OLIVE AVE, SARASOTA, FL 34231-7610
(941) 404-0343
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH15305
FL
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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