Dental Board of California
Licensing details for: 40568
Name: DATU, DAVID MARTINEZ
License Type: Dentist
Primary Status: Current - Active
Address of Record
1107 E. LINCOLN AVE, #201
ORANGE CA 92865
ORANGE county
Map
License Relationships
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: SMILE GALLERY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 3181 Primary Status: Current - Active
Address :
1107 E LINCOLN AVENUE #201
ORANGE CA 92865
ORANGE COUNTY
