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Organization
LATINO FAMILY DENTAL
Active
Organization
LATINO FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN LETICIA HERNANDEZ DDS (OWNER)
(619) 422-0300
Entity
Organization
Contact information
Practice address
835 3RD AVE STE A, CHULA VISTA, CA 91911-1352
(619) 422-0300
(619) 425-4039
Mailing address
835 3RD AVE STE A, CHULA VISTA, CA 91911-1352
(619) 422-0300
(619) 425-4039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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