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: HECTOR GOMEZ, DDS AND SALOMON MAYA, DDS
License/Registration Type: Additional Office Permit
License Number: 8246 Primary Status: Cancelled
Address :
12840 RIVERSIDE DR, STE 404
NORTH HOLLYWOOD CA 91607
LOS ANGELES COUNTY
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: HECTOR GOMEZ, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 9239 Primary Status: Cancelled
Address :
355 K STREET
STE. A
CHULA VISTA CA 91911
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: DENTAL CHECK-UP, DENTAL OFFICE OF HECTOR GOMEZ, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 6674 Primary Status: Cancelled
Address :
1010 BROADWAY
STE. 5
CHULA VISTA CA 91911
SAN DIEGO COUNTY



