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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
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Issuance Date

June 25, 2003

Expiration Date

July 31, 2004

Current Date / Time

June 13, 2026
5:58:39 PM

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

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