NPI 1114751641

Edwardo M Hernandez

Practitioner Dental Hygienist Phoenix, AZ

Practice location

Address: 9610 N Metro Pkwy W, Phoenix, AZ 85051-1402
Phone: (480) 964-2273
Mailing address: 3033 N Central Ave STE 145, Phoenix, AZ 85012-2808

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence H008773 (AZ)

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Registry record

NPI: 1114751641
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2024
Record last updated: 8 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.