Dental Board of California
Licensing details for: 7996
Name: MENDIVIL DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
4150 REGENTS PARK ROW, STE 130
LA JOLLA CA 92037
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
