Dental Board of California
Licensing details for: 29737
Name: MENDIVIL, GUY WILLIAM
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Reduced Renewal Fee
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: GUY W MENDIVIL, DDS
License/Registration Type: Additional Office Permit
License Number: 7583 Primary Status: Cancelled
Address :
10645 B TIERRASANTA BLVD
SAN DIEGO CA 92124
SAN DIEGO 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: GUY W MENDIVIL, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 5638 Primary Status: Cancelled
Address :
2740 SOUTH BRISTOL, STE 124
SANTA ANA CA 92704
ORANGE 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: GUY W MENDIVIL, DDS
License/Registration Type: Additional Office Permit
License Number: 7582 Primary Status: Cancelled
Address :
985 S SANTA FE, STE 2
VISTA CA 92083
SAN DIEGO 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: GUY W. MENDIVIL, D.D.S., PROF. DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 11104 Primary Status: Expired
Address :
3998 VISTA WAY
SUITE B
OCEANSIDE CA 92056
SAN DIEGO 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: MANJI AND MENDIVIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 7690 Primary Status: Cancelled
Address :
10715 TIERRASANTA BLVD, STE A & B
SAN DIEGO CA 92124
SAN DIEGO 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: GUY W. MENDIVIL, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 8182 Primary Status: Cancelled
Address :
4050 SAN DIMAS ST
STE B
BAKERSFIELD CA 93301
KERN 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: MENDIVIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 7996 Primary Status: Cancelled
Address :
4150 REGENTS PARK ROW, STE 130
LA JOLLA CA 92037
SAN DIEGO 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: GUY W. MENDIVIL, DDS, PROFESSIONAL DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 9104 Primary Status: Cancelled
Address :
985 SOUTH SANTA FE AVE., STE. 8
VISTA CA 92083
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TRI-CITY ORTHODONTICS, GUY W. MENDIVIL, DDS, PROF. DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 10342 Primary Status: Cancelled
Address :
3998 VISTA WAY, STE. B
OCEANSIDE CA 92056
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BAKERSFIELD ORTHODONTIC DENTAL GROUP OF GUY W MENDIVIL,
License/Registration Type: Fictitious Name Permit
License Number: 5619 Primary Status: Cancelled
Address :
4050 SAN DIMAS ST
STE B
BAKERSFIELD CA 93301
KERN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BAKERSFIELD ORTHODONTIC DENTAL GROUP, GUY W. MENDIVIL, DDS, PROF.
License/Registration Type: Fictitious Name Permit
License Number: 7387 Primary Status: Expired
Address :
11901 BOLTHOUSE DR STE 200
BAKERSFIELD CA 93311-8456
KERN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TIERRASANTA SPECIALTY DENTAL GROUP OF MANJI AND MENDIVIL
License/Registration Type: Fictitious Name Permit
License Number: 4683 Primary Status: Cancelled
Address :
10715 TIERRASANTA BLVD
STE'S A & B
SAN DIEGO CA 92124
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GUY W. MENDIVIL, D.D.S., PROF DENTAL CORP DBA; BRACES4YOU ORTHODONTIC DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 18818 Primary Status: Expired
Address :
11901 BOLTHOUSE DRIVE SUITE 200
BAKERSFIELD CA 93311
KERN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: UNIVERSITY TOWNE DENTAL GROUP OF DR GUY W MENDIVIL,
License/Registration Type: Fictitious Name Permit
License Number: 4290 Primary Status: Cancelled
Address :
4150 REGENTS PARK ROW, STE 130
LA JOLLA CA 92037
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TIERRASANTA FAMILY DENTAL GROUP OF MANJI AND
License/Registration Type: Fictitious Name Permit
License Number: 3726 Primary Status: Cancelled
Address :
10715 TIERRASANTA BLVD
SAN DIEGO CA 92124
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TIERRASANTA FAMILY DENTAL GROUP OF MANJI AND MENDIVIL
License/Registration Type: Fictitious Name Permit
License Number: 3503 Primary Status: Cancelled
Address :
10645 B TIERRASANTA BLVD
SAN DIEGO CA 92124
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BAKERSFIELD ORTHODONTIC DENTAL GROUP OF GUY W MENDIVIL,
License/Registration Type: Fictitious Name Permit
License Number: 4820 Primary Status: Cancelled
Address :
4050-B SAN DIMAS ST
BAKERSFIELD CA 93301
KERN 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: VISTA FAMILY ORTHODONTICS DENTAL GROUP,
License/Registration Type: Fictitious Name Permit
License Number: 3402 Primary Status: Cancelled
Address :
985 S. SANTA FE, STE #5
VISTA CA 92083
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: GUY W. MENDIVIL, D.D.S., PROF DENTAL CORP DBA; BRACES4YOU ORTHODONTIC DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 18818 Primary Status: Expired
Address :
11901 BOLTHOUSE DRIVE SUITE 200
BAKERSFIELD CA 93311
KERN 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: TIERRASANTA FAMILY DENTAL GROUP OF MANJI AND MENDIVIL
License/Registration Type: Fictitious Name Permit
License Number: 3503 Primary Status: Cancelled
Address :
10645 B TIERRASANTA BLVD
SAN DIEGO CA 92124
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: TIERRASANTA FAMILY DENTAL GROUP OF MANJI AND
License/Registration Type: Fictitious Name Permit
License Number: 3726 Primary Status: Cancelled
Address :
10715 TIERRASANTA BLVD
SAN DIEGO CA 92124
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: BAKERSFIELD ORTHODONTIC DENTAL GROUP OF GUY W MENDIVIL,
License/Registration Type: Fictitious Name Permit
License Number: 5619 Primary Status: Cancelled
Address :
4050 SAN DIMAS ST
STE B
BAKERSFIELD CA 93301
KERN 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: BAKERSFIELD ORTHODONTIC DENTAL GROUP, GUY W. MENDIVIL, DDS, PROF.
License/Registration Type: Fictitious Name Permit
License Number: 7387 Primary Status: Expired
Address :
11901 BOLTHOUSE DR STE 200
BAKERSFIELD CA 93311-8456
KERN 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: TRI-CITY ORTHODONTICS, GUY W. MENDIVIL, DDS, PROF. DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 10342 Primary Status: Cancelled
Address :
3998 VISTA WAY, STE. B
OCEANSIDE CA 92056
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: BAKERSFIELD ORTHODONTIC DENTAL GROUP OF GUY W MENDIVIL,
License/Registration Type: Fictitious Name Permit
License Number: 4820 Primary Status: Cancelled
Address :
4050-B SAN DIMAS ST
BAKERSFIELD CA 93301
KERN 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: UNIVERSITY TOWNE DENTAL GROUP OF DR GUY W MENDIVIL,
License/Registration Type: Fictitious Name Permit
License Number: 4290 Primary Status: Cancelled
Address :
4150 REGENTS PARK ROW, STE 130
LA JOLLA CA 92037
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: TIERRASANTA SPECIALTY DENTAL GROUP OF MANJI AND MENDIVIL
License/Registration Type: Fictitious Name Permit
License Number: 4683 Primary Status: Cancelled
Address :
10715 TIERRASANTA BLVD
STE'S A & B
SAN DIEGO CA 92124
SAN DIEGO COUNTY
