Dental Board of California
Licensing details for: 11774
Name: SMILE KINGDOM DENTAL, DENTAL OFFICE OF JOSE V. JUAREZ, D.D.S. INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: JUAREZ, JOSE VICENTE
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: JUAREZ, JOSE VICENTE
License/Registration Type: Dentist License
License Number: 53804 Primary Status: Current - Active
Address :
2340 Sunrise Blvd Ste 25
GOLD RIVER CA 95670-4369
SACRAMENTO COUNTY
