
Dental Board of California
Licensing details for: 56944
Name: WARNER, DOUGLAS DEVON
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1443 ENCINITAS BLVD
ENCINITAS CA 92024
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: WARNER PEDIATRIC DENTAL DENTAL OFFICE OF DR. DOUGLAS WARNER
License/Registration Type: Fictitious Name Permit
License Number: 17492 Primary Status: Current - Active
Address :
950 BOARDWALK STE 102
SAN MARCOS CA 92078
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: WARNER PEDIATRIC DENTAL DENTAL OFFICE OF DR. DOUGLAS WARNER
License/Registration Type: Fictitious Name Permit
License Number: 17492 Primary Status: Current - Active
Address :
950 BOARDWALK STE 102
SAN MARCOS CA 92078
SAN DIEGO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: WARNER, DOUGLAS DEVON
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2626 Primary Status: Cancelled
Address :
1443 ENCINITAS BLVD
ENCINITAS CA 92024
SAN DIEGO COUNTY