Dental Board of California
Licensing details for: 101781
Name: MARTINEZ, JUAN GERARDO
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Residency
Address of Record
490 N Main St
Suite 207
CORONA CA 92878-3461
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CORONA SMILE SHOPPE DENTAL OFFICE OF JUAN G. MARTINEZ, DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 16108 Primary Status: Current - Active
Address :
490 N. MAIN STREET, SUITE 207
CORONA CA 92880
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: CORONA SMILE SHOPPE DENTAL OFFICE OF JUAN G. MARTINEZ, DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 16108 Primary Status: Current - Active
Address :
490 N. MAIN STREET, SUITE 207
CORONA CA 92880
