Dental Board of California
Licensing details for: 12336
Name: WATERMAN DENTISTRY, DENTAL OFFICE OF BUTAY AND PHUI, DENTAL CORPO
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: WATERMAN DENTISTRY
Address of Record
2150 N. WATERMAN AVENUE, #103
SAN BERNARDINO CA 92404
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BUTAY, NELSON SINFUEGO
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PHUI, LENH SOI
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: PHUI, LENH SOI
License/Registration Type: Dentist License
License Number: 47306 Primary Status: Current - Active
Address :
12420 Day St
B4
MORENO VALLEY CA 92553-7536
RIVERSIDE 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: BUTAY, NELSON SINFUEGO
License/Registration Type: Dentist License
License Number: 48887 Primary Status: Current - Active
Address :
265 N. EUCLID AVE
UPLAND CA 91786
SAN BERNARDINO COUNTY
