Dental Board of California
Licensing details for: 80677
Name: ENRIQUE TAMAYO D.D.S., INC.
License Type: Additional Office Permit
Primary Status: Expired
Organization Classification: Corporation
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: TAMAYO, ENRIQUE
License/Registration Type: Dentist License
License Number: 52474 Primary Status: Current - Active
Address :
4400 S. BROADWAY
STE. 103
LOS ANGELES CA 90037
LOS ANGELES COUNTY
