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: ESPARZA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 78959 Primary Status: Expired
Address :
786 E FOOTHILL BLVD
UNIT D
RIALTO CA 92376-5285
SAN BERNARDINO 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: ESPARZA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79090 Primary Status: Cancelled
Address :
5250 Philadelphia St
#O
CHINO CA 91710-2483
SAN BERNARDINO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: ESPARZA, OSCAR BERNADAC
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 453 Primary Status: Cancelled
Address :
213 WEST G STREETTE 106
ONTARIO CA 91762
SAN BERNARDINO COUNTY
