Gustavo Hernandez, D.M.D.

NPI #1093181810 in Las Vegas, Nevada

Provider Information

NPI Number: 1093181810
Entity Type: Individual
Name: Gustavo Hernandez, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Aug 16, 2015
Last Updated: Aug 16, 2015

Practice Location

Address: 9771 S EASTERN AVE STE 100
City: Las Vegas
State: Nevada
ZIP Code: 89183-6801
Phone: (702) 616-9655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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