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1053558130
JAIME HERNANDEZ
LOS ANGELES, CA
NPI
1053558130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 71254)
Enumeration Date
2009-01-12
Last Update Date
2009-01-12
Business Address
-- JAIME HERNANDEZ
2604 S VERMONT AVE STE F
LOS ANGELES, CA 90007-2298
Phone number: 323-731-3333
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Mailing Address
-- JAIME HERNANDEZ
7520 S BROADWAY
LOS ANGELES, CA 90003-2086
Phone number: 323-330-5003
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