Dental Board of California
Licensing details for: 1197
Name: BROADMOOR FAMILY DENTISTRY, RENATO C. CALIP, DMD DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Sole Owner
Address of Record
2386 JUNIPERO SERRA BLVD
DALY CITY CA 94015
SAN MATEO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CALIP, RENATO C
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CALIP, RENATO CABASAAN
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: CALIP, RENATO CABASAAN
License/Registration Type: Dentist License
License Number: 37087 Primary Status: Expired
Address :
2386 Junipero Serra Blvd
DALY CITY CA 94015-1647
SAN MATEO COUNTY
