Individual
CARLOS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
498 HALE ST, CHULA VISTA, CA 91910-6430
(619) 421-5393
Mailing address
4492 CAMINO DE LA PLZ # 1441, SAN YSIDRO, CA 92173-3071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
112352
CA
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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