Dental Board of California
Licensing details for: 17492
Name: WARNER PEDIATRIC DENTAL DENTAL OFFICE OF DR. DOUGLAS WARNER
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: WARNER, DOUGLAS DEVON
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: WARNER, DOUGLAS DEVON
License/Registration Type: Dentist License
License Number: 56944 Primary Status: Current - Active
Address :
1443 ENCINITAS BLVD
ENCINITAS CA 92024
SAN DIEGO COUNTY
