Dental Board of California
Licensing details for: 106805
Name: YBARRA, ALYSSA CARMEN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by ADEX
Address of Record
1005 Alta Vista Dr
VISTA CA 92084-5521
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: YBARRA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81573 Primary Status: Current - Active
Address :
2158 VISTA WAY, SUITE 101
OCEANSIDE CA 92054
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OCEANSIDE MODERN DENTISTRY DENTAL GROUP, YBARRA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18018 Primary Status: Current - Active
Address :
2158 VISTA WAY, SUITE 101
OCEANSIDE CA 92054
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: OCEANSIDE MODERN DENTISTRY DENTAL GROUP, YBARRA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18018 Primary Status: Current - Active
Address :
2158 VISTA WAY, SUITE 101
OCEANSIDE CA 92054
SAN DIEGO COUNTY
