Dental Board of California
Licensing details for: 38693
Name: HERNANDEZ, CARMEN LETICIA
License Type: Dentist
Primary Status: Current - Active
Previous Names: HERNANDEZ, CARMEN LETCIA
Address of Record
1635 THIRD AVENUE
SUITE D
CHULA VISTA CA 91911
SAN DIEGO 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: CARMEN LETICIA HERNANDEZ, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 7983 Primary Status: Cancelled
Address :
835 3RD AVE, STE A
CHULA VISTA CA 91911
SAN DIEGO 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: LATINO FAMILY DENTAL, THE DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4309 Primary Status: Cancelled
Address :
835 THIRD AVE, STE A
CHULA VISTA CA 91911
SAN DIEGO 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: LATINO FAMILY DENTAL, THE DENTAL OFFICE OF CARMEN LETICIA HERNAND
License/Registration Type: Fictitious Name Permit
License Number: 8435 Primary Status: Current - Active
Address :
1635 3RD AVENUE
STE. D
CHULA VISTA CA 91911
SAN DIEGO 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: SOUTH COAST DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2564 Primary Status: Cancelled
Address :
400 W. 24TH STREET, SUITE A
NATIONAL CITY CA 91950
SAN DIEGO COUNTY
