Dental Hygiene Board of California
Licensing details for: 1172
Name: Coy, Kimberly Monique
License Type: RDH Alternative Practice
Primary Status: Current - Active
Specialty: Other California License(s) Held
Address not disclosed
License Relationships
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Registered Dental Hygienist Alternative Practice
Related Party Role: Dentist
Name: JEFFERSON, WALTER
License/Registration Type: Dentist License
License Number: 53460 Primary Status: Current - Active
Address :
16475 SIERRA LAKES PKWY
STE 140
FONTANA CA 92336
SAN BERNARDINO COUNTY
Registered Dental Hygienist Alternative Practice to Registered Dental Hygienist
License/Registration Role: Registered Dental Hygienist Alternative Practice
Related Party Role: Registered Dental Hygienist
Name: Coy, Kimberly Monique
License/Registration Type: Registered Dental Hygienist
License Number: 34507 Primary Status: Current - Active
Address Not Disclosed



