Dental Board of California
Licensing details for: 46894
Name: MUNOZ, NUMA FERNANDO
License Type: Dentist
Primary Status: Cancelled
Address of Record
7835 Lakeside Blvd Apt 946
BOCA RATON FL 33434-6265
PALM BEACH county
Map
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: RICHARD S LEE, DDS & N FERNANDO MUNOZ, DDS
License/Registration Type: Additional Office Permit
License Number: 7975 Primary Status: Cancelled
Address :
1610 W EDINGER AVE, STE C
SANTA ANA CA 92704
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDRENS DENTAL CENTERS, DENTAL GROUP OF N. FERNANDO MUNOZ, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 8298 Primary Status: Cancelled
Address :
14976 FOOTHILL BOULEVARD
STE. 100
FONTANA CA 92335
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTAL SURGERY CENTER, A DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4511 Primary Status: Cancelled
Address :
1610 WEST EDINGER AVE, STE C
SANTA ANA CA 92704
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DR LEE AND DR MUNOZ CHILDREN'S DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 3569 Primary Status: Cancelled
Address :
1610 W EDINGER AVE, STE C
SANTA ANA CA 92704
ORANGE 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: DR LEE AND DR MUNOZ CHILDREN'S DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 3569 Primary Status: Cancelled
Address :
1610 W EDINGER AVE, STE C
SANTA ANA CA 92704
ORANGE 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: CHILDRENS DENTAL CENTERS, DENTAL GROUP OF N. FERNANDO MUNOZ, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 8298 Primary Status: Cancelled
Address :
14976 FOOTHILL BOULEVARD
STE. 100
FONTANA CA 92335
SAN BERNARDINO 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: CHILDREN'S DENTAL SURGERY CENTER, A DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4511 Primary Status: Cancelled
Address :
1610 WEST EDINGER AVE, STE C
SANTA ANA CA 92704
ORANGE COUNTY
GA 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: General Anesthesia Permit
Name: MUNOZ, NUMA FERNANDO
License/Registration Type: General Anesthesia Permit
License Number: 1171 Primary Status: Cancelled
Address :
7835 Lakeside Blvd Apt 946
BOCA RATON FL 33434-6265
PALM BEACH COUNTY
