Dental Board of California
Licensing details for: 39969
Name: BERRY, GLADYS LUISA
License Type: Dentist
Primary Status: Current - Active
Previous Names: JAFFARI, GLADYS LUISA
Address of Record
1320 Monument Trail Dr
CHULA VISTA CA 91915-1584
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: G L BERRY, DDS, A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 9272 Primary Status: Cancelled
Address :
5527 CLAIREMONT MESA BLVD.
SAN DIEGO CA 92117
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: NEIGHBORHOOD FAMILY DENTAL PRACTICE OF G. L. BERRY, DDS, A DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 6763 Primary Status: Cancelled
Address :
5527 CLAIREMONT MESA BLVD.
SAN DIEGO CA 92117
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: NEIGHBORHOOD FAMILY DENTAL PRACTICE OF G L BERRY, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 5418 Primary Status: Cancelled
Address :
4655 CASS STREET, STE 100
SAN DIEGO CA 92109
SAN DIEGO COUNTY



