Dental Board of California
Licensing details for: 36361
Name: ESTRADA-GUEVARA, MARIA GUADALUPE
License Type: Dentist
Primary Status: Current - Inactive
Secondary Status: Reduced Renewal Fee
Address of Record
627 Wilmington Drive
CHULA VISTA CA 91914
SAN DIEGO 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: HERRERA AND ESTRADA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8765 Primary Status: Cancelled
Address :
2060 OTAY LAKES RD
CHULA VISTA CA 91913
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: NAPLES PLAZA DENTAL PRACTICE/MARIA G. ESTRADA-GUEVARA DDS
License/Registration Type: Fictitious Name Permit
License Number: 13203 Primary Status: Cancelled
Address :
1072-A 3RD AVE
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: SOUTH COAST DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2564 Primary Status: Cancelled
Address :
400 W. 24TH STREET, SUITE A
NATIONAL CITY CA 91950
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: NAPLES DENTAL DENTAL GROUP OF MARIA G. ESTRADA - GUEVARA, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 15265 Primary Status: Cancelled
Address :
1072-A 3RD AVE
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: EAST LAKE PLAZA DENTAL OFFICE, HERRERA AND ESTRADA DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 5975 Primary Status: Cancelled
Address :
2060 OTAY LAKES RD, STE 230
CHULA VISTA CA 91913
SAN DIEGO COUNTY
