Grace Hernandez

NPI #1891236055 in Montclair, California

Provider Information

NPI Number
1891236055
Entity Type
Individual
Name
Grace Hernandez
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dental Assistant
Enumeration Date
Mar 20, 2017
Last Updated
Mar 20, 2017

Practice Location

Address
5542 PALO VERDE ST
ZIP Code
91763-2538
Phone
(909) 252-8170

Specialties & Taxonomy Codes

Specialty
Dental Assistant

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