Dental Board of California
Licensing details for: 61047
Name: AYALA ARIZMENDI, MARCELA DOLORES
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1310 W Stewart Dr Ste 501
ORANGE CA 92868-3856
ORANGE county
Map
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: AYALA ARIZMENDI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79412 Primary Status: Expired
Address :
1310 W STEWART DR., SUITE 501
ORANGE CA 92868
ORANGE 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: A.M. DENTAL GROUP, DENTAL OFFICE OF AYALA MARCELA DDS CORP
License/Registration Type: Fictitious Name Permit
License Number: 17316 Primary Status: Current - Active
Address :
11922 SEACREST DR STE B
GARDEN GROVE CA 92840
ORANGE 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: SMILELIFE DENTAL GROUP, PRACTICE OF AYALA ARIZMENDI DENTAL CORPOR
License/Registration Type: Fictitious Name Permit
License Number: 10954 Primary Status: Current - Active
Address :
11922 Seacrest Dr
Unit #B
GARDEN GROVE CA 92840-1937
ORANGE 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: SMILELIFE DENTAL GROUP, PRACTICE OF TREJO CANCHOLA DENTAL CORPORA
License/Registration Type: Fictitious Name Permit
License Number: 10544 Primary Status: Cancelled
Address :
624 S. EUCLID STREET
ANAHEIM CA 92802
ORANGE 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: SMILELIFE DENTAL GROUP, PRACTICE OF AYALA ANZMENDI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13667 Primary Status: Expired
Address :
1310 W STEWART DR STE 501
ORANGE CA 92868
ORANGE COUNTY



