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Licensing details for: 100620

Name: HERNANDEZ, ALEXIS

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

923 W Arrow Hwy
SAN DIMAS CA 91773-2420
LOS ANGELES county
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Issuance Date

August 2, 2016

Expiration Date

September 30, 2026

Current Date / Time

September 8, 2026
8:44:38 AM

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: ALEXIS HERNANDEZ, DDS

License/Registration Type: Additional Office Permit

License Number: 82978 Primary Status: Current - Active

Address :
3580 Grand Ave., Suite K
CHINO HILLS CA 91709

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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

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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: ALEXIS HERNANDEZ, DDS

License/Registration Type: Additional Office Permit

License Number: 82979 Primary Status: Current - Active

Address :
3410 Grand Ave., Suite F
CHINO HILLS CA 91709

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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: ALEXIS HERNANDEZ, DDS

License/Registration Type: Additional Office Permit

License Number: 82977 Primary Status: Current - Active

Address :
3660 Grand Avenue, Suite C
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

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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: My Kid's Dentist Dental Group of Chino Hills Dental Group and My Kid's Dentist, Prof. Corp.

License/Registration Type: Fictitious Name Permit

License Number: 20795 Primary Status: Current - Active

Address :
3580 Grand Ave., Suite K
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

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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: Chino Hills Dental Group

License/Registration Type: Fictitious Name Permit

License Number: 20793 Primary Status: Current - Active

Address :
3660 Grand Avenue, Suite C
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

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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: Chino Hills Dental Group

License/Registration Type: Fictitious Name Permit

License Number: 20794 Primary Status: Current - Active

Address :
3410 Grand Ave., Suite F
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

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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

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