Dental Board of California
Licensing details for: 31411
Name: VALDEZ, DIANE OCHOA
License Type: Dentist
Primary Status: Current - Active
Address of Record
31515 RANCHO PUEBLO RD.
SUITE 204
TEMECULA CA 92592
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESTINY DENTAL, DENTAL PRACTICE, DIANE O. VALDEZ, DDS, A DENTAL C
License/Registration Type: Fictitious Name Permit
License Number: 9760 Primary Status: Cancelled
Address :
27403 YNEZ ROAD, STE. 108
TEMECULA CA 92591
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESTINY DENTAL, OFFICE OF DIANE O. VALDEZ, DDS, A DENTAL CORPORAT
License/Registration Type: Fictitious Name Permit
License Number: 10859 Primary Status: Current - Active
Address :
31515 RANCHO PUEBLO ROAD SUITE 204
TEMECULA CA 92592
RIVERSIDE 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: DESTINY DENTAL, DENTAL PRACTICE, DIANE O. VALDEZ, DDS, A DENTAL C
License/Registration Type: Fictitious Name Permit
License Number: 9760 Primary Status: Cancelled
Address :
27403 YNEZ ROAD, STE. 108
TEMECULA CA 92591
RIVERSIDE 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: DESTINY DENTAL, OFFICE OF DIANE O. VALDEZ, DDS, A DENTAL CORPORAT
License/Registration Type: Fictitious Name Permit
License Number: 10859 Primary Status: Current - Active
Address :
31515 RANCHO PUEBLO ROAD SUITE 204
TEMECULA CA 92592
RIVERSIDE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: VALDEZ, DIANE OCHOA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 741 Primary Status: Cancelled
Address :
31515 Rancho Pueblo Rd Ste 204
TEMECULA CA 92592-4837
RIVERSIDE COUNTY
