Dental Board of California
Licensing details for: 12210
Name: CHULA VISTA DENTAL CARE DENTAL OFFICE OF DR. MAROON
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: CHULA VISTA DENTAL CARE DRS. MAROON
Address of Record
1177 BROADWAY #19
CHULA VISTA CA 91911
SAN DIEGO county
Map
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: MAROON, JOHN PAUL
License/Registration Type: Dentist License
License Number: 40671 Primary Status: Current - Active
Address :
310 THIRD AVE
SUITE C-1B
CHULA VISTA CA 91910
SAN DIEGO COUNTY
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: HOSSEINI-MAROON, MANIJEH
License/Registration Type: Dentist License
License Number: 40946 Primary Status: Current - Active
Address :
310 Third Ave Ste C1B
CHULA VISTA CA 91910-3954
SAN DIEGO COUNTY
