NPI | 1669652152 |
---|---|
Professional Name | JUAN CARLOS HERNANDEZ HUERTAS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN013633) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN013633) |
122300000X Dentist (Licence: GA DN013633) | |
Enumeration Date | 2007-11-13 |
Last Update Date | 2022-08-31 |