Dental Board of California
Licensing details for: 57332
Name: LOPEZ, GERALD
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
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: ALFONSO AND LOPEZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80211 Primary Status: Cancelled
Address :
20258 US HWY. 18 SUITE 400
APPLE VALLEY CA 92307
SAN BERNARDINO COUNTY
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: ALFONSO AND LOPEZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79213 Primary Status: Cancelled
Address :
20258 US Highway 18 Ste 400
APPLE VALLEY CA 92307-6197
SAN BERNARDINO COUNTY
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: GERALD LOPEZ AND LOUIS STROMBERG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11907 Primary Status: Cancelled
Address :
12218 APPLE VALLEY ROAD
BLDG 1 SUITE 110
APPLE VALLEY CA 92308
SAN BERNARDINO COUNTY
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: GERALD LOPEZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80215 Primary Status: Current - Active
Address :
12218 APPLE VALLEY ROAD, BLDG. 1, SUITE 110
APPLE VALLEY CA 92308
SAN BERNARDINO COUNTY
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: GERALD LOPEZ, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80513 Primary Status: Current - Active
Address :
20258 US HWY. 18 SUITE 400
APPLE VALLEY CA 92307
SAN BERNARDINO 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: PARKWAY DENTAL GROUP ALFONSO AND LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13309 Primary Status: Cancelled
Address :
20258 US HIGHWAY 18, SUITE 400
APPLE VALLEY CA 92307
SAN BERNARDINO 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: PARKWAY DENTAL GROUP GERALD LOPEZ, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 15681 Primary Status: Current - Active
Address :
20258 US HWY. 18., SUITE 400
APPLE VALLEY CA 92307
SAN BERNARDINO 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: APPLE VALLEY SMILES DENTISTRY DENTAL GROUP, GERALD LOPEZ AND LOUIS STROMBERG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14004 Primary Status: Cancelled
Address :
12218 APPLE VALLEY RD BLDG 1 STE 110
APPLE VALLEY CA 92308
SAN BERNARDINO 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: APPLE VALLEY SMILE DENTISTRY DENTAL GROUP GERALD LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15207 Primary Status: Current - Active
Address :
12218 APPLE VALLEY ROAD, BLDG. 1, SUITE 110
APPLE VALLEY CA 92308
SAN BERNARDINO 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: PARKWAY DENTAL GROUP ALFONSO AND LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15205 Primary Status: Cancelled
Address :
20258 US HWY. 18, SUITE 400
APPLE VALLEY CA 92307
SAN BERNARDINO COUNTY
