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Licensing details for: 9210

Name: EDUARDO DIAZ, DDS, PROF. CORP.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: EDUARDO DIAZ

Address of Record

890 EASTLAKE PARKWAY
STE. 303
CHULA VISTA CA 91914
SAN DIEGO county
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Issuance Date

October 18, 2006

Expiration Date

October 31, 2008

Current Date / Time

June 6, 2025
8:36:0 PM

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: DIAZ, EDUARDO

License/Registration Type: Dentist License

License Number: 44306 Primary Status: Current - Active

Address :
3638 Elcajon Blv
Siute A
SAN DIEGO CA 92104
SAN DIEGO COUNTY

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