Leslie K Hernandez Dmd PA

NPI #1740348267 in Lutz, Florida

Provider Information

NPI Number: 1740348267
Entity Type: Organization
Organization Name: Leslie K Hernandez Dmd PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 5, 2006
Last Updated: Dec 10, 2012

Practice Location

Address: 19125 US HIGHWAY 41 NORTH
City: Lutz
State: Florida
ZIP Code: 33549
Phone: (813) 949-4568

Authorized Official

Name: DR. LESLIE KAY HERNANDEZ, DMD
Title: DENTIST OWNER
Phone: (813) 949-4568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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