Dental Board of California
Licensing details for: 51516
Name: REYES, RAQUEL REQUILMAN
License Type: Dentist
Primary Status: Current - Active
Address of Record
8590 Rio San Diego Dr Ste 110
SAN DIEGO CA 92108-5597
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RIO VISTA FAMILY DENTISTRY, DENTAL OFFICE,
License/Registration Type: Fictitious Name Permit
License Number: 5160 Primary Status: Expired
Address :
8590 RIO SAN DIEGO DR, STE 110
SAN DIEGO CA 92108
SAN DIEGO 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: RIO VISTA FAMILY DENTISTRY, DENTAL OFFICE,
License/Registration Type: Fictitious Name Permit
License Number: 5160 Primary Status: Expired
Address :
8590 RIO SAN DIEGO DR, STE 110
SAN DIEGO CA 92108
SAN DIEGO 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: REYES, RAQUEL REQUILMAN
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2413 Primary Status: Expired
Address :
8590 Rio San Diego Dr Ste 110
SAN DIEGO CA 92108-5597
SAN DIEGO COUNTY
