
Dental Board of California
Licensing details for: 1883
Name: MIRA COSTA DENTAL, DENTAL PRACTICE OF DR JOSE M. DUENAS & DR. ANG
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: MIRA COSTA DENTAL ❖ JOSE M. DUENES, A PROFESSIONAL DENTAL CORPORATION DBA
Address of Record
3502 COLLEGE BLVD
SUITE B
OCEANSIDE CA 92057
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DUENES, JOSE M
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DUENES, ANGELA TERESITA
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: DUENES, JOSE M
License/Registration Type: Dentist License
License Number: 35047 Primary Status: Current - Active
Address :
3502 College Blvd Ste B
OCEANSIDE CA 92056-4671
SAN DIEGO 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: DUENES, ANGELA TERESITA
License/Registration Type: Dentist License
License Number: 38987 Primary Status: Current - Active
Address :
3502 College Blvd Ste B
OCEANSIDE CA 92056-4671
SAN DIEGO COUNTY