Individual
MS. DEBRA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
8381 LA PALMA AVE, SUITE B&C, BUENA PARK, CA 90620-3271
(714) 228-9990
Mailing address
14349 GRAYLAND AVE, NORWALK, CA 90650-4949
(562) 519-1637
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
72278
CA
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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