Dental Board of California
Licensing details for: 4309
Name: LATINO FAMILY DENTAL, THE DENTAL OFFICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
835 THIRD AVE, STE A
CHULA VISTA CA 91911
SAN DIEGO county
Map
License Relationships
FNP to DDS or OMS
License/Registration Role: Fictitious Name 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
