Jorge L Hernandez, D.M.D Valid NPI

Individual provider · Prosthodontics · Pearland, TX

NPI

1558568402

Type

Individual (Type 1)

Primary specialty

Prosthodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0700X

License number

30547 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2007-07-02

Last updated

2021-01-07