Alexander Erasto Hernandez, DMD
Dentist, General Practice in Saint Louis, MO. Individual provider (NPI-1).
NPI number1164081980
StatusActive
Last updated in NPPESJun 6, 2019
Details
- NPI
- 1164081980
- Entity type
- Individual (NPI-1)
- Name
- Alexander Erasto Hernandez
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2019
- Last updated
- Jun 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2019018446 | MO | Yes |
Practice location
8859 Ladue RdSaint Louis, MO 63124-2045
Phone 314-983-8011 · Fax 314-983-8112
Mailing address
8859 Ladue RdSaint Louis, MO 63124-2045
Phone 314-983-8011 · Fax 314-983-8112
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