Individual
EDGARDO ENRIQUE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17175 NE 20TH AVE APT 8, NORTH MIAMI BEACH, FL 33162-3273
(786) 303-3334
Mailing address
17175 NE 20TH AVE APT 8, NORTH MIAMI BEACH, FL 33162-3273
(786) 303-3334
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22483
FL
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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