Dental Board of California
Licensing details for: 108389
Name: SMITH, KERI LYNN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Credential
Address of Record
131 W Ontario Avenue
Suite 102
CORONA CA 92882
RIVERSIDE 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: KERI SMITH, DDS
License/Registration Type: Additional Office Permit
License Number: 82484 Primary Status: Current - Active
Address :
140 Hidden Valley Pkwy Ste K
NORCO CA 92860
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: Hamner Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20269 Primary Status: Current - Active
Address :
140 Hidden Valley Pkwy Suite K
NORCO CA 92860
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: My Kids Dentist Dental Group of Hamner Dental Group and My Kids Dentist, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20275 Primary Status: Current - Active
Address :
140 Hidden Valley Pkwy Suite K
NORCO CA 92860
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: Main Street Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20404 Primary Status: Current - Active
Address :
131 W. Ontario Ave. Suite 102
CORONA CA 92882
RIVERSIDE COUNTY
