Individual
DAVID HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1051 PORT MALABAR BLVD NE, PALM BAY, FL 32905-5153
(321) 729-6060
Mailing address
1770 N WICKHAM RD, MELBOURNE, FL 32935-8122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15029
FL
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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