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Organization
JERRY HERNANDEZ DDS INC
Active
Organization
JERRY HERNANDEZ DDS INC
Active
Other names
FRIENDLY DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY HERNANDEZ DDS (DENTIS)
(951) 676-8920
Entity
Organization
Contact information
Practice address
28314 OLD TOWN FRONT ST, TEMECULA, CA 92590-1814
(951) 676-8920
Mailing address
28314 OLD TOWN FRONT ST, TEMECULA, CA 92590-1814
(951) 676-8920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649565557
DDS
CA
Enumeration date
05/14/2022
Last updated
05/14/2022
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