Individual
MARIA HERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2500 SW 107TH AVE, SUITE #45, MIAMI, FL 33165-2470
(305) 223-5439
Mailing address
2500 SW 107TH AVE, SUITE #45, MIAMI, FL 33165-2470
(305) 223-5439
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 12595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41121
ADI
FL
01
—
580745
OHS
FL
Enumeration date
06/07/2006
Last updated
07/08/2007
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