Individual
DR. DAVID L HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801
(541) 966-9830
(541) 240-8758
Mailing address
46314 TIMINE WAY, PENDLETON, OR 97801
(541) 966-9830
(541) 240-8758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006642
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5023346
—
WA
Enumeration date
05/17/2007
Last updated
04/15/2020
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