Organization
FORT LAUDERDALE DMS
Active
Organization
FORT LAUDERDALE DMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND ANTHONY HERNANDEZ DDS (PRESIDENT)
(954) 356-9956
Entity
Organization
Contact information
Practice address
2000 S. ANDREWS AVENUE, FORT LAUDERDALE, FL 33316
(954) 356-9956
(954) 356-8120
Mailing address
2000 S. ANDREWS AVENUE, FORT LAUDERDALE, FL 33316
(954) 356-9956
(954) 356-8120
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN16358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070434200
—
FL
Enumeration date
10/13/2008
Last updated
04/22/2021
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