License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: BATO, TRICIA DAVID
License/Registration Type: Conscious Sedation Permit
License Number: 1190 Primary Status: Cancelled
Address :
1920 E 17th St
101
SANTA ANA CA 92705-8626
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: WESCOVE FAMILY DENTISTRY DENTAL OFFICE OF DR. KOUZ AND DR. BATO
License/Registration Type: Fictitious Name Permit
License Number: 18878 Primary Status: Current - Active
Address :
1129 S. GLENDORA BLVD
WEST COVINA CA 91790
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: WESCOVE FAMILY DENTISTRY DENTAL OFFICE OF DR. KOUZ AND DR. BATO
License/Registration Type: Fictitious Name Permit
License Number: 18878 Primary Status: Current - Active
Address :
1129 S. GLENDORA BLVD
WEST COVINA CA 91790
LOS ANGELES COUNTY
MS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Moderate Sedation Permit
Name: BATO, TRICIA DAVID
License/Registration Type: Moderate Sedation Permit
License Number: 170 Primary Status: Current - Active
Address :
770 MAGNOLIA AVE SUITE 2E
CORONA CA 92879
RIVERSIDE COUNTY
