Skip to Main Content

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

Issuance Date

June 2, 2004

Expiration Date

May 31, 2026

Current Date / Time

December 15, 2025
12:39:31 PM

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

Map

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

Map

Important Links