Hernick Family Dental Pllc
NPI #1407636376 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1407636376
- Entity Type
- Organization
- Organization Name
- Hernick Family Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 29, 2023
- Last Updated
- Sep 29, 2023
Practice Location
- Address
- 4220 W OLD SHAKOPEE RD STE 221
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55437-2949
- Phone
- (952) 881-0201
Authorized Official
- Name
- JACOBY HERNICK, DDS
- Title
- OWNER
- Phone
- (612) 532-0046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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