Individual provider · NPI-1

Blanca N Acosta Hernandez, DDS

Dentist, General Practice · Hialeah, FL

NPI number1346826880
StatusActive
Last updated in NPPESAug 7, 2023

Details

NPI
1346826880
Entity type
Individual (NPI-1)
Name
Blanca N Acosta Hernandez
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Mar 23, 2021
Certification date
Aug 7, 2023
Last updated
Aug 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice28364FLYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

400 W 65th St
Hialeah, FL 33012-6640

Phone 305-827-0434

Mailing address

19592 Nw 82nd Pl
Hialeah, FL 33015-5992

Phone 786-870-2897

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