Dental Board of California
Licensing details for: 102821
Name: SANDERS, TYLER MICHAEL
License Type: Dentist
Primary Status: Expired
Method of Application: Licensure by WREB
Address of Record
6965 EL CAMINO REAL 105-645
CARLSBAD CA 92009
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: DIANA DO-YABUT AND BRYAN WATANABE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80140 Primary Status: Cancelled
Address :
23905 CLINTON KEITH ROAD, SUITE 108
WILDOMAR CA 92595
RIVERSIDE 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: DO-YABUT AND SANDERS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80141 Primary Status: Cancelled
Address :
36068 HIDDEN SPRINGS ROAD, SUITE H
WILDOMAR CA 92595
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BEAR CREEK DENTAL GROUP DO-YABUT AND SANDERS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15098 Primary Status: Cancelled
Address :
36068 HIDDEN SPRINGS ROAD, SUITE H
WILDOMAR CA 92595
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CLINTON KEITH DENTAL GROUP DIANA DO-YABUT AND BRYAN WATANABE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15099 Primary Status: Cancelled
Address :
23905 CLINTON KEITH ROAD, SUITE 108
WILDOMAR CA 92595
RIVERSIDE 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: BEAR CREEK DENTAL GROUP DO-YABUT AND SANDERS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15098 Primary Status: Cancelled
Address :
36068 HIDDEN SPRINGS ROAD, SUITE H
WILDOMAR CA 92595
RIVERSIDE 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: CLINTON KEITH DENTAL GROUP DIANA DO-YABUT AND BRYAN WATANABE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15099 Primary Status: Cancelled
Address :
23905 CLINTON KEITH ROAD, SUITE 108
WILDOMAR CA 92595
RIVERSIDE COUNTY
