 
                Dental Board of California
Licensing details for: 41111
Name: LOMBOY, JOSE LITO M
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Probation Terminated
Address of Record
4980 BARRANCA PKWY
STE 160
IRVINE CA 92604
ORANGE 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: BUEHLER, LOMBOY, REAGAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8036 Primary Status: Cancelled
Address : 
467 COLLEGE BLVD, STE 2
OCEANSIDE CA 92057
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: WOODBRIDGE DENTAL SERVICES, DENTAL OFFICE OF JOSE L.M. LOMBOY,
License/Registration Type: Fictitious Name Permit
License Number: 6105 Primary Status: Expired
Address : 
4980 BARRANCA PKWY.
STE. 160
IRVINE CA 92604
ORANGE 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: COLLEGE DENTAL GROUP, BUEHLER, LOMBOY,
License/Registration Type: Fictitious Name Permit
License Number: 3818 Primary Status: Cancelled
Address : 
467 COLLEGE BLVD, STE I
OCEANSIDE CA 92057
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: LAKESIDE DENTAL OFFICE JOSE LOMBOY DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 1827 Primary Status: Cancelled
Address : 
4483 BARRANCA PARKWAY STE 195
IRVINE CA 92604
ORANGE 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: WOODBRIDGE DENTAL SERVICES DENTAL OFFICE OF JOSE LITO M. LOMBOY DDS
License/Registration Type: Fictitious Name Permit
License Number: 16094 Primary Status: Current - Active
Address : 
4980 BARRANCA PARKWAY, SUITE 160
IRVINE CA 92604-8645
ORANGE COUNTY



