Dental Board of California
Licensing details for: 1827
Name: LAKESIDE DENTAL OFFICE JOSE LOMBOY DDS INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
4483 BARRANCA PARKWAY STE 195
IRVINE CA 92604
ORANGE county
Map
License Relationships
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: LOMBOY, JOSE LITO M
License/Registration Type: Dentist License
License Number: 41111 Primary Status: Current - Active
Address :
4980 BARRANCA PKWY
STE 160
IRVINE CA 92604
ORANGE COUNTY
