Dental Board of California
Licensing details for: 56722
Name: JAISWAL, EKTA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: JAISWAL AND DALTON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80884 Primary Status: Current - Active
Address :
13616 POWAY ROAD SUITE 100
POWAY CA 92064
SAN DIEGO 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: POWAY FAMILY DENTAL GROUP, JAISWAL AND DALTON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16481 Primary Status: Current - Active
Address :
13616 POWAY RD STE 100
POWAY CA 92064
SAN DIEGO COUNTY
