Provider Demographics
NPI:1336469121
Name:HERNANDEZ, DAYNET (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAYNET
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13780 SW 38TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6453
Mailing Address - Country:US
Mailing Address - Phone:786-222-4867
Mailing Address - Fax:
Practice Address - Street 1:1199 W FLAGLER ST STE 7
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1055
Practice Address - Country:US
Practice Address - Phone:305-324-5072
Practice Address - Fax:305-403-2981
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 197701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice