Organization
DENTISTRY OF NORTH PORT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSA HERNANDEZ DMD (DENTIST/OWNER)
(754) 610-9880
Entity
Organization
Contact information
Practice address
13801 TAMIAMI TRL STE B, NORTH PORT, FL 34287-2017
(941) 200-5812
Mailing address
13801 TAMIAMI TRL STE B, NORTH PORT, FL 34287-2017
(941) 200-5812
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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