Dental Board of California
Licensing details for: 100620
Name: HERNANDEZ, ALEXIS
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1697 Justine Way
UPLAND CA 91784-8068
SAN BERNARDINO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: ZAKLAMA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81205 Primary Status: Current - Active
Address :
923 W. ARROW HWY
SAN DIMAS CA 91773
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: SAN DIMAS DENTAL OFFICE, ZAKLAMA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17126 Primary Status: Current - Active
Address :
923 W. ARROW HWY
SAN DIMAS CA 91773
LOS ANGELES COUNTY
