Mario Hernandez D.D.S

NPI 1487820296 - Dentist - 1223G0001X

NPI Details
NPI 1487820296
Gender Male
Enumeration Date 05/01/2008
Last Updated 02/18/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
1870 FOREST HILL BLVD
SUITE 103
LAKE CLARKE SHORES FL, 33406-8901, US
Phone (561) 585-5891
Fax (561) 586-6014
Business Location
1870 FOREST HILL BLVD
SUITE 103
LAKE CLARKE SHORES FL, 33406-8901, US
Phone (561) 585-5891
Fax (954) 349-4808
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN0013087
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According to our database, Dr. Mario Hernandez D.D.S NPI is 1487820296, taxonomy code is 1223G0001X and license number is DN0013087, license state is located at Florida. Mario Hernandez D.D.S physically located at 1870 Forest Hill Blvd, Lake Clarke Shores FL, 33406-8901. NPI Number Mario Hernandez D.D.S has the Individual type.

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1487820296 NPI number is provided on an as is basis without warranty of any kind. 1487820296 is maintained by the National Plan & Provider Enumeration System. The contents of Mario Hernandez D.D.S are for informational purposes only.