Individual
DR. ANTHONY R HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5116 AMERICAN FAMILY DR, MADISON, WI 53718-8331
(608) 825-7500
(608) 825-0010
Mailing address
5116 AMERICAN FAMILY DR, MADISON, WI 53718-8331
(608) 825-7500
(608) 825-0010
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0005488
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33774400
—
WI
Enumeration date
08/31/2006
Last updated
11/12/2012
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