Individual
DR. HERNANDO PULIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 901-0277
Mailing address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 901-0277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02413000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200735
—
NJ
Enumeration date
03/30/2009
Last updated
04/13/2016
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