Dental Board of California
Licensing details for: 102421
Name: HINDERBERGER, HOLLY NICOLE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Residency
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: HOLLY HINDERBERGER, DDS
License/Registration Type: Additional Office Permit
License Number: 81923 Primary Status: Current - Active
Address :
3001 EL CAJON BLVD., SUITE 101
SAN DIEGO CA 92104
SAN DIEGO COUNTY
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: HINDERBERGER DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80389 Primary Status: Expired
Address :
2050 EL CAJON BLVD
SAN DIEGO CA 92104
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NORTH PARK MODERN DENTISTRY DENTAL GROUP HINDERBERGER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15539 Primary Status: Current - Active
Address :
2050 EL CAJON BLVD
SAN DIEGO CA 92104
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS AT NORTH PARK DENTAL GROUP, HOLLY HINDERBERGER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18931 Primary Status: Current - Active
Address :
3001 EL CAJON BLVD., SUITE 101
SAN DIEGO CA 92104
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: NORTH PARK MODERN DENTISTRY DENTAL GROUP HINDERBERGER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15539 Primary Status: Current - Active
Address :
2050 EL CAJON BLVD
SAN DIEGO CA 92104
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: DENTISTS AT NORTH PARK DENTAL GROUP, HOLLY HINDERBERGER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18931 Primary Status: Current - Active
Address :
3001 EL CAJON BLVD., SUITE 101
SAN DIEGO CA 92104
SAN DIEGO COUNTY
