Dental Board of California
Licensing details for: 18767
Name: BANNING ENDODONTICS A DENTAL OFFICE, LYNN DIAZ DENTAL CORPORATION
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: DIAZ, LYNN
License/Registration Type: Dentist License
License Number: 42728 Primary Status: Current - Active
Address :
24099 Postal Ave Ste 101
MORENO VALLEY CA 92553-7709
RIVERSIDE COUNTY
