Dental Board of California
Licensing details for: 105279
Name: ATALLA, MARTHA NAGY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: MARTHA ATALLA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81692 Primary Status: Current - Active
Address :
3901 BRISTOL STREET
SANTA ANA CA 92704
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SOUTH COAST SMILES DENTISTRY DENTAL GROUP, MARTHA ATALLA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18325 Primary Status: Current - Active
Address :
3901 BRISTOL STREET
SANTA ANA CA 92704
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: SOUTH COAST SMILES DENTISTRY DENTAL GROUP, MARTHA ATALLA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18325 Primary Status: Current - Active
Address :
3901 BRISTOL STREET
SANTA ANA CA 92704
ORANGE COUNTY
