Dental Board of California
Licensing details for: 60504
Name: PENALBA, WILBERTO ISAAC
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
9922 Sierra Ave
FONTANA CA 92335-6721
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GOLDEN WEST DENTISTRY, PRACTICE OF CALVILLO & PENALBA DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 11687 Primary Status: Current - Active
Address :
9922 SIERRA AVE
FONTANA CA 92335
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: GOLDEN WEST DENTISTRY, PRACTICE OF CALVILLO & PENALBA DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 11687 Primary Status: Current - Active
Address :
9922 SIERRA AVE
FONTANA CA 92335
SAN BERNARDINO COUNTY
