Dental Board of California
Licensing details for: 18409
Name: ALTA VISTA DENTAL, DENTAL OFFICE OF JORGE A. URREA, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
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: URREA, JORGE ALBERTO
License/Registration Type: Dentist License
License Number: 54777 Primary Status: Current - Active
Address :
775 Shadowridge Dr
VISTA CA 92083-7997
SAN DIEGO COUNTY



