Dental Hygiene Board of California
Licensing details for: 27
Name: KLEEN MOUTH DENTAL HYGIENE PRACTICE OF EDITH VITALICH, RDHAP
License Type: Registered Dental Fictitious Name Permit
Primary Status: Delinquent
Address of Record
1799 Semple St
CHULA VISTA CA 91913-4358
SAN DIEGO county
Map
License Relationships
Fictitious Name Permit to Registered Dental Hygienist Alternative Practice
License/Registration Role: Fictitious Name Permit
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: VITALICH, EDITH HERRERA
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 302 Primary Status: Delinquent
Address Not Disclosed
