Dental Board of California
Licensing details for: 42728
Name: DIAZ, LYNN
License Type: Dentist
Primary Status: Current - Active
Address of Record
24099 Postal Ave Ste 101
MORENO VALLEY CA 92553-7709
RIVERSIDE 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: MORENO VALLEY ENDODONTICS DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 2717 Primary Status: Cancelled
Address :
12810 HEACOCK STREET SUITE B-105
MORENO VALLEY CA 92553
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: BANNING ENDODONTICS A DENTAL OFFICE, LYNN DIAZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18767 Primary Status: Current - Active
Address :
3084 WEST RAMSEY ST.
BANNING CA 92220
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: MORENO VALLEY ENDODONTICS, DENTAL PRACTICE,
License/Registration Type: Fictitious Name Permit
License Number: 5495 Primary Status: Current - Active
Address :
24099 POSTAL AVE, STE 101
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
