Dental Board of California
Licensing details for: 64863
Name: ZHAO, YIGE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: YIGE ZHAO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80413 Primary Status: Current - Active
Address :
9840 CARMEL MOUNTAIN ROAD
SAN DIEGO CA 92129
SAN DIEGO 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: YIGE ZHAO, DDS
License/Registration Type: Additional Office Permit
License Number: 82133 Primary Status: Current - Active
Address :
640 W. MISSION AVENUE
ESCONDIDO CA 92025
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RANCHO PENASQUITOS DENTISTRY DENTAL GROUP YIGE ZHAO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15513 Primary Status: Current - Active
Address :
9840 CARMEL MOUNTAIN ROAD
SAN DIEGO CA 92129
SAN DIEGO 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: RANCHO PENASQUITOS DENTISTRY DENTAL GROUP YIGE ZHAO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15513 Primary Status: Current - Active
Address :
9840 CARMEL MOUNTAIN ROAD
SAN DIEGO CA 92129
SAN DIEGO COUNTY
