Dental Board of California
Licensing details for: 107158
Name: NITTAYO, NATHAN D
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: Nittayo, Nathan
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: NATHAN NITTAYO, DDS
License/Registration Type: Additional Office Permit
License Number: 81758 Primary Status: Current - Active
Address :
1717 WALNUT GROVE AVENUE SUITE 500
ROSEMEAD CA 91770
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF ROSEMEAD DENTAL GROUP, CLAUDIA CAMACHO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18494 Primary Status: Current - Active
Address :
1717 WALNUT GROVE AVENUE SUITE 500
ROSEMEAD CA 91770
LOS ANGELES 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 OF ROSEMEAD DENTAL GROUP, CLAUDIA CAMACHO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18494 Primary Status: Current - Active
Address :
1717 WALNUT GROVE AVENUE SUITE 500
ROSEMEAD CA 91770
LOS ANGELES COUNTY
