Dental Board of California
Licensing details for: 45691
Name: FONTABLA, ROSALYN CASARENO
License Type: Dentist
Primary Status: Current - Active
Previous Names: FONTABLA, ROSALYN C
Address of Record
31111 MISSION BLVD
HAYWARD CA 94544
ALAMEDA 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: FAIRWAY PARK DENTAL OFFICE,
License/Registration Type: Fictitious Name Permit
License Number: 3572 Primary Status: Current - Active
Address :
31111 MISSION BLVD
HAYWARD CA 94544
ALAMEDA COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: BARRIENTOS CALERO, BRENDA CELINA
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 918 Primary Status: Current - Active
Address Not Disclosed
