Individual
DAVID HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6680 W FLAMINGO RD, LAS VEGAS, NV 89103-2189
(702) 541-2828
Mailing address
1510 GRAPE ARBOR WAY, LAS VEGAS, NV 89142-0669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7411
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2020
Last updated
01/29/2021
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