Dental Board of California
Licensing details for: 51974
Name: MINTER, ILIEN JIMENEZ
License Type: Dentist
Primary Status: Current - Active
Previous Names: MINTER, LLIEN JIMENEZ ❖ MINTER, LLIEN J
License Relationships
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: MINTER, ILIEN JIMENEZ
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1063 Primary Status: Current - Active
Address :
785 Grand Ave Ste 206
Suite 206
CARLSBAD CA 92008-2370
SAN DIEGO COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: AMES, ANNA JO
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 759 Primary Status: Current - Active
Address Not Disclosed



