
Dental Board of California
Licensing details for: 16678
Name: ENCINITAS PERIODONTICS AND DENTAL IMPLANTS DENTAL PRACTICE OF DR. KANIKA BEMBEY
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: ENCINITAS PERIODONTICS AND DENTAL IMPLANTS PRACTICE OF DR. KANIKA BEMBEY
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BEMBEY, KANIKA
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: BEMBEY, KANIKA
License/Registration Type: Dentist License
License Number: 103138 Primary Status: Current - Active
Address :
6671 Agave Cir
CARLSBAD CA 92011-3617
SAN DIEGO COUNTY