Dental Board of California
Licensing details for: 60200
Name: NIETO, ANGELICA MARIA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: NIETO, MARIA ANGELICA
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHARMING SMILES OF LA QUINTA DENTAL PRACTICE OF NIETO DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 14934 Primary Status: Current - Active
Address :
78995 HIGHWAY 111, UNIT 3
LA QUINTA CA 92253
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: CHARMING SMILES OF LA QUINTA DENTAL PRACTICE OF NIETO DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 14934 Primary Status: Current - Active
Address :
78995 HIGHWAY 111, UNIT 3
LA QUINTA CA 92253
RIVERSIDE COUNTY
