Dental Board of California
Licensing details for: 14922
Name: MACHADO MAXILLOFACIAL SURGERY DENTAL PRACTICE LIMITED TO ORAL AND MAXILLOFACIAL SURGERY
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
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: MACHADO, LESTER
License/Registration Type: Dentist License
License Number: 29080 Primary Status: Expired
Address :
501 WASHINGTON AVE
STE 710
SAN DIEGO CA 92103
SAN DIEGO COUNTY
