JOHNNY J HERNANDEZ

BLOOMINGTON, IL
NPI1073636130
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019025505)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
-- JOHNNY J HERNANDEZ DDS
10 HEARTLAND DR SUITE A
BLOOMINGTON, IL 61704-7741
Phone number: 309-662-0523
Mailing Address
-- JOHNNY J HERNANDEZ DDS
13715 FAWN DR
BLOOMINGTON, IL 61704-7834
Phone number: 309-828-1110
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