| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 02/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417098260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13087 (Florida) | Primary |