Dental Board of California
Licensing details for: 100769
Name: NAVEJAS CARPIO, EMILIANO
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1690 Millenia Avenue
Suite 102
CHULA VISTA CA 91915
SAN DIEGO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: NAVEJAS CARPIO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80997 Primary Status: Current - Active
Address :
1690 MILLENIA AVENUE STE 102
CHULA VISTA CA 91915
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EASTLAKE MODERN DENTISTRY DENTAL GROUP, NAVEJAS CARPIO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19088 Primary Status: Current - Active
Address :
1690 MILLENIA AVE., SUITE 102
CHULA VISTA CA 91915
SAN DIEGO 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: EASTLAKE MODERN DENTISTRY DENTAL GROUP, NAVEJAS CARPIO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19088 Primary Status: Current - Active
Address :
1690 MILLENIA AVE., SUITE 102
CHULA VISTA CA 91915
SAN DIEGO COUNTY
