Dental Board of California
Licensing details for: 109305
Name: ALVISUA, LAURA BEATRIZ
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by ADEX
Address of Record
11806 Whittier Blvd Ste E
WHITTIER CA 90601-4622
LOS ANGELES county
Map
License Relationships
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: Whittier Modern Dentistry Dental Group of Whittier Modern Dentistry, Prof. Corp.
License/Registration Type: Fictitious Name Permit
License Number: 20655 Primary Status: Current - Active
Address :
11806 Whittier Blvd., Suite E
WHITTIER CA 90601
