Dental Board of California
Licensing details for: 38829
Name: DE LA CRUZ, MICHAEL M F LUNA JR
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Reduced Renewal Fee
Previous Names: DE LA CRUZ MICHAEL M F JR LUNA, ❖ DE LA CRUZ, MICHAEL M F LUNA
Address of Record
12085 HEACOCK ST
MORENO VALLEY CA 92557
RIVERSIDE 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: MICHAEL LUNA DE LA CRUZ, DDS
License/Registration Type: Additional Office Permit
License Number: 6075 Primary Status: Cancelled
Address :
24940 REDLANDS BLVD
SUITE A
SAN BERNARDINO CA 92408
SAN BERNARDINO 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: GRAPEVINE DENTAL OFFICE, MICHAEL DE LA CRUZ,
License/Registration Type: Fictitious Name Permit
License Number: 3975 Primary Status: Cancelled
Address :
12085 HEACOCK ST
MORENO VALLEY CA 92557
RIVERSIDE COUNTY
