Dental Board of California
Licensing details for: 55961
Name: LOPEZ, PATRICIA Y
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1534 E Amar Rd Ste A
WEST COVINA CA 91792-1639
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: PATRICIA Y. LOPEZ, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 10471 Primary Status: Cancelled
Address :
1534 E. AMAR RD., STE. A
WEST COVINA CA 91792
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HEALTHY SMILE DENTAL GROUP, PATRICIA Y. LOPEZ, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 7335 Primary Status: Cancelled
Address :
675 SOUTH SECOND AVE.
COVINA CA 91723
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: HEALTHY SMILE DENTAL GROUP, PATRICIA Y. LOPEZ, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 7335 Primary Status: Cancelled
Address :
675 SOUTH SECOND AVE.
COVINA CA 91723
LOS ANGELES COUNTY
