Dental Board of California
Licensing details for: 51540
Name: AGATEP, KATHRINA LEGASPI
License Type: Dentist
Primary Status: Current - Active
Previous Names: AGATEP, KATHRINA L
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTAL DESIGN SPA, DENTAL OFFICE OF K AGATEP, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 5981 Primary Status: Cancelled
Address :
3737 MORAGA AVE, STE B311
SAN DIEGO CA 92117
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTAL DESIGN SD, DENTAL OFFICE OF KATHRINA AGATEP, DDS, PROF. CO
License/Registration Type: Fictitious Name Permit
License Number: 8786 Primary Status: Cancelled
Address :
9450 SCRANTON ROAD
STE. 110
SAN DIEGO CA 92121
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: DENTAL DESIGN SD, DENTAL OFFICE OF KATHRINA AGATEP, DDS, PROF. CO
License/Registration Type: Fictitious Name Permit
License Number: 8786 Primary Status: Cancelled
Address :
9450 SCRANTON ROAD
STE. 110
SAN DIEGO CA 92121
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: DENTAL DESIGN SPA, DENTAL OFFICE OF K AGATEP, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 5981 Primary Status: Cancelled
Address :
3737 MORAGA AVE, STE B311
SAN DIEGO CA 92117
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: AGATEP, KATHRINA LEGASPI
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 993 Primary Status: Current - Active
Address :
5531 Cancha de Golf
102
5531 Cancha de Golf, 102
RANCHO SANTA FE CA 92091-4624
SAN DIEGO COUNTY
