License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ST. MOISES DENTAL, OFFICE OF UBLESTER GOMEZ, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 7290 Primary Status: Expired
Address :
12 RANCHO CAMINO DR.
STE. 102
POMONA CA 91766
LOS ANGELES 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: ST. MOISES DENTAL, OFFICE OF UBLESTER GOMEZ, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 7290 Primary Status: Expired
Address :
12 RANCHO CAMINO DR.
STE. 102
POMONA CA 91766
LOS ANGELES COUNTY
