Dental Board of California
Licensing details for: 16108
Name: CORONA SMILE SHOPPE DENTAL OFFICE OF JUAN G. MARTINEZ, 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: MARTINEZ, JUAN GERARDO
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: MARTINEZ, JUAN GERARDO
License/Registration Type: Dentist License
License Number: 101781 Primary Status: Current - Active
Address :
490 N Main St
Suite 207
CORONA CA 92878-3461
RIVERSIDE COUNTY
