Dental Board of California
Licensing details for: 43765
Name: CARLISLE, DAVID JAMES
License Type: Dentist
Primary Status: Current - Active
Address of Record
31737 Riverside Dr
Suite B
LAKE ELSINORE CA 92530-7890
RIVERSIDE 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: DAVID CARLISLE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79266 Primary Status: Cancelled
Address :
2878 CAMPUS PKWY STE 1
RIVERSIDE CA 92507
RIVERSIDE COUNTY
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: DAVID CARLISLE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79237 Primary Status: Cancelled
Address :
2878 Campus Pkwy
SUITE 1
RIVERSIDE CA 92507-0966
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CANYON SPRINGS DENTAL GROUP DAVID CARLISLE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13408 Primary Status: Cancelled
Address :
2878 CAMPUS PKWY STE 1
RIVERSIDE CA 92507
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: INLAND DENTAL OF MORENO VALLEY
License/Registration Type: Fictitious Name Permit
License Number: 2959 Primary Status: Cancelled
Address :
24655 SUNNYMEAD BLVD
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CANYON SPRINGS DENTAL GROUP, DAVID CARLISLE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13173 Primary Status: Cancelled
Address :
2878 CAMPUS PARKWAY, SUITE 1
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: INLAND DENTAL OF MORENO VALLEY
License/Registration Type: Fictitious Name Permit
License Number: 2959 Primary Status: Cancelled
Address :
24655 SUNNYMEAD BLVD
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: CANYON SPRINGS DENTAL GROUP, DAVID CARLISLE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13173 Primary Status: Cancelled
Address :
2878 CAMPUS PARKWAY, SUITE 1
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: CANYON SPRINGS DENTAL GROUP DAVID CARLISLE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13408 Primary Status: Cancelled
Address :
2878 CAMPUS PKWY STE 1
RIVERSIDE CA 92507
RIVERSIDE COUNTY
