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
923 W Arrow Hwy
SAN DIMAS CA 91773-2420
LOS ANGELES 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: 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
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
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
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
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
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
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
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



