Organization Name: | H&M DENTAL SERVICES INC |
NPI Number: | 1841330131 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIO HERNANDEZ (DENTIST) |
Mailing Address: | 872 W Sugarland Hwy Clewiston |
State: | FL US |
Postal Code: | 334402704 |
Phone Number: | 8639835600 |
Fax Number: | 8639835625 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 13087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |