Individual
DR. IDALIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8726 NW 26TH ST, SUITE 10, DORAL, FL 33172-1627
(305) 591-8044
(305) 591-7533
Mailing address
8060 SW 152ND AVE, # 501, MIAMI, FL 33193-1328
(786) 853-0569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19766
FL
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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