Dental Board of California
Licensing details for: 52474
Name: TAMAYO, ENRIQUE
License Type: Dentist
Primary Status: Current - Active
Address of Record
4400 S. BROADWAY
STE. 103
LOS ANGELES CA 90037
LOS ANGELES 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: ENRIQUE TAMAYO D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80677 Primary Status: Expired
Address :
1928 TYLER AVE D-168
SOUTH EL MONTE CA 91733
LOS ANGELES 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: TYLER DENTAL CARE DENTAL OFFICE OF DRS., LALA, TSOI, AND TAMAYO
License/Registration Type: Fictitious Name Permit
License Number: 17096 Primary Status: Expired
Address :
1928 TYLER AVE, #D168
SOUTH EL MONTE CA 91733
LOS ANGELES COUNTY



