
Dental Board of California
Licensing details for: 13667
Name: SMILELIFE DENTAL GROUP, PRACTICE OF AYALA ANZMENDI DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: AYALA ARIZMENDI, MARCELA DOLORES
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: AYALA ARIZMENDI, MARCELA DOLORES
License/Registration Type: Dentist License
License Number: 61047 Primary Status: Current - Active
Address :
1310 W Stewart Dr Ste 501
ORANGE CA 92868-3856
ORANGE COUNTY