Dental Board of California
Licensing details for: 36377
Name: HERRERA, LISE
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Reduced Renewal Fee
Address of Record
346 E Oneida St
CHULA VISTA CA 91911-3737
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: 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



