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NPI Code Detail

MEDICARE: HERNANDEZ & BUCK, A DENTAL PARTNERSHIP

MEDICARE: HERNANDEZ & BUCK, A DENTAL PARTNERSHIP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1659779734
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERNANDEZ & BUCK, A DENTAL PARTNERSHIP
Provider Business Mailing Address
First Line : 9560 BASELINE RD
Second Line : SUITE B
City : ALTA LOMA
State : CA
Zip : 91701-6435
Country : US
Telephone Number : 909-987-7676
Fax Number : 909-948-9413
Provider Business Practice Location Address
First Line : 9560 BASELINE RD
Second Line : SUITE B
City : ALTA LOMA
State : CA
Zip : 91701-6435
Country : US
Telephone Number : 909-987-7676
Fax Number : 909-948-9413
Authorized Official
Title or Position : OWNER/PARTNER
Name : DR. STEVEN D HERNANDEZ
Credential : DDS
Telephone Number : 909-987-7676
Provider Enumeration Date : 12/05/2014
Last Update Date : 12/05/2014

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Directions to “HERNANDEZ & BUCK, A DENTAL PARTNERSHIP ” Practice Location

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