Provider Demographics
NPI:1912079948
Name:HERNANDEZ GARAY, MARIA A (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:A
Last Name:HERNANDEZ GARAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1250 SW 27 AVE SUITE 203
Mailing Address - Street 2:MARIA A HERNANDEZ GARAY DDS
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135
Mailing Address - Country:US
Mailing Address - Phone:305-643-3800
Mailing Address - Fax:305-643-3914
Practice Address - Street 1:1250 SW 27 AVE SUITE #203
Practice Address - Street 2:MARIA A HERNANDEZ GARAY DDS
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135
Practice Address - Country:US
Practice Address - Phone:305-643-3800
Practice Address - Fax:305-643-3914
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN13446122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist