Dental Board of California
Licensing details for: 2072
Name: RIVERA, REYNALDO DAVID
License Type: Dentist General Anesthesia
Primary Status: Current - Active
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHANNEL ISLANDS ORAL & MAXILLOFACIAL SURGERY JESSE LANZON, DDS, MD, REYNALDO RIVERA, DDS, MD, FACS DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 17046 Primary Status: Expired
Address :
4043 MISSION OAKS BLVD
CAMARILLO CA 93012
VENTURA COUNTY
GA to DDS or OMS or SP
License/Registration Role: General Anesthesia Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: RIVERA, REYNALDO DAVID
License/Registration Type: Dentist License
License Number: 106044 Primary Status: Current - Active
Address :
67 S Glenn Dr
67 S Glenn Dr
CAMARILLO CA 93010-7944
