Jerry Hernandez D.D.S.

NPI 1649565557 - Dentist - 1223G0001X

NPI Details
NPI 1649565557
Gender Male
Enumeration Date 06/20/2011
Last Updated 04/04/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
7484 UNIVERSITY AVE
STE. 150
LA MESA CA, 91942-6063, US
Phone (619) 460-2500
Fax (619) 462-3169
Business Location
7484 UNIVERSITY AVE
STE.#150
LA MESA CA, 91942-6063, US
Phone (619) 460-2500
Fax (619) 462-3169
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401413249
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According to our database, Dr. Jerry Hernandez D.D.S. NPI is 1649565557, taxonomy code is 1223G0001X and license number is 0401413249, license state is located at Virginia. Jerry Hernandez D.D.S. physically located at 7484 University Ave, La Mesa CA, 91942-6063. NPI Number Jerry Hernandez D.D.S. has the Individual type.

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1649565557 NPI number is provided on an as is basis without warranty of any kind. 1649565557 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Hernandez D.D.S. are for informational purposes only.