Dental Board of California
Licensing details for: 19241
Name: RIVIERA ENDODONTICS DENTAL OFFICE OF TYLER DAVIS DMD, MS
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DAVIS, TYLER ASHTON
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: DAVIS, TYLER ASHTON
License/Registration Type: Dentist License
License Number: 106384 Primary Status: Current - Active
Address :
1001 Avenida Pico
Unit N
SAN CLEMENTE CA 92673-6957
ORANGE COUNTY
