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: ESPINO & MEDINA DDS INC.
License/Registration Type: Additional Office Permit
License Number: 80386 Primary Status: Cancelled
Address :
1227 W FOOTHILL BLVD.
UPLAND CA 91786
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: ESPINO & MEDIAN DDS INC.
License/Registration Type: Additional Office Permit
License Number: 81434 Primary Status: Expired
Address :
2211 UNIVERSITY AVE
RIVERSIDE CA 92507
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VILLAGE DENTAL CARE, DENTAL PRACTICE OF DAVID O. MEDINA DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 10957 Primary Status: Expired
Address :
10925 MAGNOLIA AVENUE
RIVERSIDE CA 92505
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: UNIVERSITY DENTAL CLINIC DENTAL PRACTICE OF ESPINO & MEDINA DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 17629 Primary Status: Expired
Address :
2211 UNIVERSITY AVE
RIVERSIDE CA 92507
RIVERSIDE 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: UNIVERSITY DENTAL CLINIC DENTAL PRACTICE OF ESPINO & MEDINA DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 17629 Primary Status: Expired
Address :
2211 UNIVERSITY AVE
RIVERSIDE CA 92507
RIVERSIDE 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: VILLAGE DENTAL CARE, DENTAL PRACTICE OF DAVID O. MEDINA DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 10957 Primary Status: Expired
Address :
10925 MAGNOLIA AVENUE
RIVERSIDE CA 92505
RIVERSIDE COUNTY
