Johnny J Hernandez, DDS
NPI #1073636130 in Bloomington, Illinois
Provider Information
- NPI Number
- 1073636130
- Entity Type
- Individual
- Name
- Johnny J Hernandez, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 10 HEARTLAND DR
- Address 2
- SUITE A
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7741
- Phone
- (309) 662-0523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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