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Gonzalo E Hernandez, DDS
Pediatric Dentist in Appleton, Wisconsin
NPI 1447292537

Gonzalo E Hernandez is a Pediatric Dentist based in Appleton, WI and is specialized in Pediatric Dentistry. Gonzalo E Hernandez practices in Appleton, WI and has the professional credentials of DDS. The NPI Number for Gonzalo E Hernandez is 1447292537 and holds a License No. 4564-015 (Wisconsin).

The current practice location address for Gonzalo E Hernandez is 2612 E Calumet St, Appleton, WI and can be reached out via phone at 920-739-6808 and via fax at 920-730-7353.

Location: 2612 E Calumet St, Appleton, WI, 54915-4104
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Provider Profile Details
NPI Number
1447292537
Provider Name
Gonzalo E Hernandez
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2612 E Calumet St, Appleton, WI, 54915-4104
Phone Number
920-739-6808
Fax Number
920-730-7353
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33718600 05 WI
institution
Provider Business Practice Location Address Details
Address
2612 E Calumet St
City
State
Zip
54915-4104
Phone Number
920-739-6808
Fax Number
920-730-7353
person
Provider Business Mailing Address Details
Address
2612 E Calumet St
City
State
Zip
54915-4104
Phone Number
920-739-6808
Fax Number
920-730-7353
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
4564-015 (Wisconsin)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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