Dental Hygiene Board of California
Licensing details for: 1265
Name: ORTIZ, MICHELLE RENE
License Type: RDH Alternative Practice
Primary Status: Current - Active
Specialty: Other California License(s) Held
Previous Names: LICEA, MICHELLE RENE ❖ MANCILLA, MICHELLE RENE Ms ❖ MANCILLA, MICHELLE RENE
Address not disclosed
License Relationships
Fictitious Name Permit to Registered Dental Hygienist Alternative Practice
License/Registration Role: Registered Dental Hygienist Alternative Practice
Related Party Role: Fictitious Name Permit
Name: The Traveling Dental Hygienist Practice by Michelle Ortiz RDHAP
License/Registration Type: Fictitious Name Permit
License Number: 387 Primary Status: Current - Active
Address :
44159 Galion Ave
LANCASTER CA 93536-6060
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Registered Dental Hygienist Alternative Practice
Related Party Role: Dentist
Name: SANDERSON, VANESSA ANDRADE
License/Registration Type: Dentist License
License Number: 56596 Primary Status: Current - Active
Address :
2014 W Avenue K
LANCASTER CA 93536-5229
Registered Dental Hygienist Alternative Practice to Registered Dental Hygienist
License/Registration Role: Registered Dental Hygienist Alternative Practice
Related Party Role: Registered Dental Hygienist
Name: ORTIZ, MICHELLE RENE
License/Registration Type: Registered Dental Hygienist
License Number: 26248 Primary Status: Current - Active
Address Not Disclosed
