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Individual

SILVIA ERIKA HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDA

Contact information

Practice address
1129 W 10TH ST APT M, CORONA, CA 92882-4529
(626) 755-1108
Mailing address
1129 W 10TH ST APT M, CORONA, CA 92882-4529
(626) 755-1108

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
78818
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
78818
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
05/18/2015
Last updated
05/18/2015
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