Dental Board of California
Licensing details for: 993
Name: AGATEP, KATHRINA LEGASPI
License Type: Oral Conscious Sedation
Primary Status: Current - Active
Secondary Status: Licensure by Residency
Specialty: Adult
Previous Names: AGATEP, KATHRINA L
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTAL DESIGN SD, DENTAL OFFICE OF KATHRINA AGATEP, DDS, PROF. CO
License/Registration Type: Fictitious Name Permit
License Number: 8786 Primary Status: Cancelled
Address :
9450 SCRANTON ROAD
STE. 110
SAN DIEGO CA 92121
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTAL DESIGN SPA, DENTAL OFFICE OF K AGATEP, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 5981 Primary Status: Cancelled
Address :
3737 MORAGA AVE, STE B311
SAN DIEGO CA 92117
SAN DIEGO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: AGATEP, KATHRINA LEGASPI
License/Registration Type: Dentist License
License Number: 51540 Primary Status: Current - Active
Address :
5531 Cancha De Golf
102
RANCHO SANTA FE CA 92091-4624
SAN DIEGO COUNTY
