Individual
DR. MARIO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2537 W NORTH AVE, MELROSE PARK, IL 60160-1121
(708) 345-6400
Mailing address
828 LAVERGNE AVE, WILMETTE, IL 60091-2073
(224) 392-1770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034582
IL
Other
Enumeration date
06/15/2023
Last updated
05/17/2024
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