Dental Board of California
Licensing details for: 15382
Name: CALIFORNIA EASY SMILES DENTAL PRACTICE OF NARDA RODRIGUEZ, DMD, 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: RODRIGUEZ, NARDA S
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: RODRIGUEZ, NARDA S
License/Registration Type: Dentist License
License Number: 61306 Primary Status: Current - Active
Address :
20671 Lake Forest Dr
20671 Lake Forest Drive ste B 103
LAKE FOREST CA 92630-7746
ORANGE COUNTY
