Dental Board of California
Licensing details for: 46296
Name: MEDINA-RANGEL, DIANA MARCELA
License Type: Dentist
Primary Status: Current - Active
Address of Record
ADVENTIST HEALTH DENTAL
1025 N DOUTY ST
HANFORD CA 93230
KINGS county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: COURT STREET FAMILY DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 3433 Primary Status: Cancelled
Address :
518 NORTH COURT, STE C
VISALIA CA 93618
TULARE 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: COURT STREET FAMILY DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 3433 Primary Status: Cancelled
Address :
518 NORTH COURT, STE C
VISALIA CA 93618
TULARE COUNTY
