Dental Board of California
Licensing details for: 100403
Name: SACA, LENA DEBAZ
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Residency
Previous Names: DEBAZ, LENA SIHAM
Address of Record
307 N BREA BLVD
BREA CA 92821
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ENERGETIC SMILE DENTAL PRACTICE OF DR. LENA DEBAZ
License/Registration Type: Fictitious Name Permit
License Number: 15032 Primary Status: Expired
Address :
307 N BREA BLVD
BREA CA 92821
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ENERGETIC SMILE FAMILY DENTAL, DENTAL PRACTICE OF DR. LENA DEBAZ
License/Registration Type: Fictitious Name Permit
License Number: 15031 Primary Status: Expired
Address :
307 N BREA BLVD
BREA CA 92821
ORANGE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: ENERGETIC SMILE FAMILY DENTAL, DENTAL PRACTICE OF DR. LENA DEBAZ
License/Registration Type: Fictitious Name Permit
License Number: 15031 Primary Status: Expired
Address :
307 N BREA BLVD
BREA CA 92821
ORANGE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: ENERGETIC SMILE DENTAL PRACTICE OF DR. LENA DEBAZ
License/Registration Type: Fictitious Name Permit
License Number: 15032 Primary Status: Expired
Address :
307 N BREA BLVD
BREA CA 92821
ORANGE COUNTY
