Dental Board of California
Licensing details for: 11839
Name: BROADWAY SMILES, DENTAL PRACTICE OF DR. MARLENE THOMPSON
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Sole Owner
Previous Names: BROADWAY SMILES
License Relationships
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: THOMPSON, MARLENE MAVILLA
License/Registration Type: Dentist License
License Number: 50382 Primary Status: Current - Active
Address :
1001 W San Marcos Blvd
106C
SAN MARCOS CA 92078-4012
SAN DIEGO COUNTY
