Dental Board of California
Licensing details for: 7690
Name: MANJI AND MENDIVIL DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
10715 TIERRASANTA BLVD, STE A & B
SAN DIEGO CA 92124
SAN DIEGO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MENDIVIL, GUY WILLIAM
License/Registration Type: Dentist License
License Number: 29737 Primary Status: Current - Active
Address :
11901 Bolthouse Dr
SUITE 200
BAKERSFIELD CA 93311-8455
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MANJI, MEHMOOD FATEHALI
License/Registration Type: Dentist License
License Number: 46109 Primary Status: Current - Active
Address :
467 College Blvd
Suite 2
OCEANSIDE CA 92057-5436
