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Organization
ELSA WENDY HERNANDEZ, DDS, INC
Active
Organization
ELSA WENDY HERNANDEZ, DDS, INC
Active
Other names
Heavenly Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELSA WENDY HERNANDEZ DDS (DENTIST/OWNER)
(323) 484-9260
Entity
Organization
Contact information
Practice address
11724 WILMINGTON AVE, LOS ANGELES, CA 90059-2543
(323) 484-9260
Mailing address
11724 WILMINGTON AVE, LOS ANGELES, CA 90059-2543
(323) 484-9260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56388
CA
Other
Enumeration date
12/13/2013
Last updated
01/16/2015
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