Mario Hernadez, Dds, Inc | |
1870 Forest Hill Blvd Suite 103 Lake Clarke Shores FL 33406-8901 | |
(561) 585-5891 | |
(561) 586-6014 |
Full Name | Mario Hernadez, Dds, Inc |
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Speciality | Clinic/center - Dental |
Location | 1870 Forest Hill Blvd, Lake Clarke Shores, Florida |
Authorized Official Name and Position | Mario Hernandez (DENTIST) |
Authorized Official Contact | 5615855891 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mario Hernadez, Dds, Inc 1870 Forest Hill Blvd Suite 103 Lake Clarke Shores FL 33406-8901 Ph: (561) 585-5891 | Mario Hernadez, Dds, Inc 1870 Forest Hill Blvd Suite 103 Lake Clarke Shores FL 33406-8901 Ph: (561) 585-5891 |
NPI Number | 1417098260 |
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Provider Enumeration Date | 02/12/2007 |
Last Update Date | 02/18/2016 |
Identifier | Type | State | Issuer |
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1417098260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 13087 (Florida) | Primary |