Dental Board of California
Licensing details for: 7983
Name: CARMEN LETICIA HERNANDEZ, DDS, INC
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
835 3RD AVE, STE A
CHULA VISTA CA 91911
SAN DIEGO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: HERNANDEZ, CARMEN LETICIA
License/Registration Type: Dentist License
License Number: 38693 Primary Status: Current - Active
Address :
1635 THIRD AVENUE
SUITE D
CHULA VISTA CA 91911
SAN DIEGO COUNTY



