Dental Board of California
Licensing details for: 107223
Name: CEBALLOS, CARLA VANESSA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
3549 STRANG BLVD
YORKTOWN HEIGHTS NY 10598-1928
WESTCHESTER county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ROCEDENT FAMILY DENTAL, DENTAL OFFICE OF CEBALLOS PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18165 Primary Status: Current - Active
Address :
965 S BEACH BLVD
ANAHEIM CA 92804
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: ROCEDENT FAMILY DENTAL, DENTAL OFFICE OF CEBALLOS PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18165 Primary Status: Current - Active
Address :
965 S BEACH BLVD
ANAHEIM CA 92804
ORANGE COUNTY
