Dental Board of California
Licensing details for: 16718
Name: NEW SMILE DENTAL STUDIO PRACTICE OF MARTINEZ DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MARTINEZ, KAREN E
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, KAREN E
License/Registration Type: Dentist License
License Number: 56270 Primary Status: Current - Active
Address :
204 E Chevy Chase Dr Ste 1
GLENDALE CA 91205-3182
LOS ANGELES COUNTY
