Dental Board of California
Licensing details for: 18621
Name: CROSSROADS FAMILY DENTAL, DENTAL OFFICE OF TORRES BENITEZ 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: TORRES BENITEZ, MARIA J
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TORRES BENITEZ, ELSA C
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TORRES DE SARAVIA, MARTHA HILDA
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: TORRES BENITEZ, MARIA J
License/Registration Type: Dentist License
License Number: 107208 Primary Status: Current - Active
Address :
2723 N Bristol St Ste D7
SANTA ANA CA 92706-1419
ORANGE COUNTY
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: TORRES DE SARAVIA, MARTHA HILDA
License/Registration Type: Dentist License
License Number: 104581 Primary Status: Current - Active
Address :
2723 N BRISTOL ST., SUITE D-7
SANTA ANA CA 92706
ORANGE COUNTY
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: TORRES BENITEZ, ELSA C
License/Registration Type: Dentist License
License Number: 107217 Primary Status: Current - Active
Address :
2723 N Bristol St
Ste D7
SANTA ANA CA 92706-1419
ORANGE COUNTY
