Dental Board of California
Licensing details for: 56758
Name: RUFFOLO, DANIEL VINCENT
License Type: Dentist
Primary Status: Expired
Method of Application: Licensure by WREB
Address of Record
1575 MIDDLETON ROAD
SAN DIMAS CA 91773
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: DANIEL RUFFOLO D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 11323 Primary Status: Cancelled
Address :
2508 E. PALMDALE BLVD SUITE D
PALMDALE CA 93550
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE ORTHODONTICS, DENTAL PRACTICE OF DANIEL RUFFOLO D.D.S., INC
License/Registration Type: Fictitious Name Permit
License Number: 11036 Primary Status: Cancelled
Address :
2508 E PALMDALE BLVD
SUITE D
PALMDALE CA 93550
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: SMILE ORTHODONTICS, DENTAL PRACTICE OF DANIEL RUFFOLO D.D.S., INC
License/Registration Type: Fictitious Name Permit
License Number: 11036 Primary Status: Cancelled
Address :
2508 E PALMDALE BLVD
SUITE D
PALMDALE CA 93550
LOS ANGELES COUNTY
