Dental Board of California
Licensing details for: 13496
Name: TALENT DENTAL DENTAL GROUP OF MATTA BOTROUS, DDS, 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: BOTROUS, MATTA JOSEPH MATTA
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: BOTROUS, MATTA JOSEPH MATTA
License/Registration Type: Dentist License
License Number: 62073 Primary Status: Current - Active
Address :
10590 TOWN CENTER DR
SUITE 180
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY
