Dental Board of California
Licensing details for: 39951
Name: COYOCA, DAISY BATHAN
License Type: Dentist
Primary Status: Expired
Previous Names: COYOCA, DAISY
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: DAISY B COYOCA, DDS
License/Registration Type: Additional Office Permit
License Number: 7730 Primary Status: Cancelled
Address :
5051 CANYON CREST DR, #103
RIVERSIDE CA 92507
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: SYCAMORE DENTAL PRACTICE, DAISY B COYOCA, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4881 Primary Status: Cancelled
Address :
5051 CANYON CREST DR
STE 103
RIVERSIDE CA 92507
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: SYCAMORE DENTAL PRACTICE, DAISY B COYOCA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 3779 Primary Status: Cancelled
Address :
5051 CANYON CREST DR, #103
RIVERSIDE CA 92507
RIVERSIDE COUNTY
