Individual
ALEXIS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
612 S COCHRAN AVE, APT. #202, LOS ANGELES, CA 90036-5900
(619) 392-7822
Mailing address
612 S COCHRAN AVE, APT. #202, LOS ANGELES, CA 90036-5900
(619) 392-7822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100620
CA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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