Dental Board of California
Licensing details for: 456
Name: LOPEZ, ALEX DIAZ
License Type: Conscious Sedation
Primary Status: Cancelled
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: LOPEZ, ALEX DIAZ
License/Registration Type: Dentist License
License Number: 44012 Primary Status: Current - Active
Address :
868 Auto Center Dr
Suite A
PALMDALE CA 93551-4690
LOS ANGELES COUNTY
