Dental Board of California
Licensing details for: 1395
Name: EL NORTE FAMILY DENTAL OFFICE, DR. VIJAYA PRABHU
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Sole Owner
Address of Record
306 WEST EL NORTE PARKWAY, STE D/E
ESCONDIDO CA 92026
SAN DIEGO county
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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: PRABHU, VIJAYA KV
License/Registration Type: Dentist License
License Number: 38736 Primary Status: Current - Active
Address :
306 EL NORTE FAMILY PARKWAY
SUITE D & E
ESCONDIDO CA 92026
SAN DIEGO COUNTY
