Dental Board of California
Licensing details for: 52373
Name: DIAZ, LOURDES FULO
License Type: Dentist
Primary Status: Current - Active
Previous Names: DIAZ, LOURDES
Address of Record
24541 Pacific Park Dr
STE. 105
ALISO VIEJO CA 92656-3065
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALISO NIGUEL DENTAL GROUP, SHAHZADI & DIAZ DDS
License/Registration Type: Fictitious Name Permit
License Number: 14053 Primary Status: Expired
Address :
24541 PACIFIC PARK DR STE 105
ALISO VIEJO CA 92656
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: ALISO NIGUEL DENTAL GROUP, SHAHZADI & DIAZ DDS
License/Registration Type: Fictitious Name Permit
License Number: 14053 Primary Status: Expired
Address :
24541 PACIFIC PARK DR STE 105
ALISO VIEJO CA 92656
ORANGE COUNTY
