Individual
DR. CARMEN LETICIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
835 3RD AVE STE A, CHULA VISTA, CA 91911-1352
(619) 422-0300
(619) 425-4039
Mailing address
835 3RD AVE, CHULA VISTA, CA 91911-1352
(619) 422-0300
(619) 425-4039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38693
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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