Individual
CATHY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3711 49TH ST N, ST PETERSBURG, FL 33710-2153
(727) 547-3603
Mailing address
3711 49TH ST N, ST PETERSBURG, FL 33710-2153
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 21421
FL
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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