Dental Board of California
Licensing details for: 44306
Name: DIAZ, EDUARDO
License Type: Dentist
Primary Status: Current - Active
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: EDUARDO DIAZ, DDS, PROF. CORP.
License/Registration Type: Additional Office Permit
License Number: 9210 Primary Status: Cancelled
Address :
890 EASTLAKE PARKWAY
STE. 303
CHULA VISTA CA 91914
SAN DIEGO 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: EDUARDO DIAZ, D.D.S., P.C.
License/Registration Type: Additional Office Permit
License Number: 80226 Primary Status: Current - Active
Address :
3638 El Cajon Blvd
Suite A
SAN DIEGO CA 92104-1500
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EASTLAKE IMPLANT & LASER DENTISTRY, DENTAL PRACTICE OF EDUARDO DI
License/Registration Type: Fictitious Name Permit
License Number: 6601 Primary Status: Cancelled
Address :
890 EASTLAKE PKWY.
STE. 303
CHULA VISTA CA 91914
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EASTLAKE IMPLANT & TMJ DENTISTRY DENTAL PRACTICE, EDUARDO DIAZ DE
License/Registration Type: Fictitious Name Permit
License Number: 10104 Primary Status: Cancelled
Address :
890 EASTLAKE PARKWAY, STE. 303
CHULA VISTA CA 94914
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NORTH PARK SMILES DENTAL OFFICE OF EDUARDO DIAZ DDS
License/Registration Type: Fictitious Name Permit
License Number: 15977 Primary Status: Current - Active
Address :
3638 EL CAJON BLVD., SUITE C
SAN DIEGO CA 92104
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: NORTH PARK SMILES DENTAL OFFICE OF EDUARDO DIAZ DDS
License/Registration Type: Fictitious Name Permit
License Number: 15977 Primary Status: Current - Active
Address :
3638 EL CAJON BLVD., SUITE C
SAN DIEGO CA 92104
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: EASTLAKE IMPLANT & TMJ DENTISTRY DENTAL PRACTICE, EDUARDO DIAZ DE
License/Registration Type: Fictitious Name Permit
License Number: 10104 Primary Status: Cancelled
Address :
890 EASTLAKE PARKWAY, STE. 303
CHULA VISTA CA 94914
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: EASTLAKE IMPLANT & LASER DENTISTRY, DENTAL PRACTICE OF EDUARDO DI
License/Registration Type: Fictitious Name Permit
License Number: 6601 Primary Status: Cancelled
Address :
890 EASTLAKE PKWY.
STE. 303
CHULA VISTA CA 91914
SAN DIEGO COUNTY
MS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Moderate Sedation Permit
Name: DIAZ, EDUARDO
License/Registration Type: Moderate Sedation Permit
License Number: 13 Primary Status: Cancelled
Address :
3638 EL CAJON BLVD
SAN DIEGO CA 92104
SAN DIEGO COUNTY
