Dental Board of California
Licensing details for: 19265
Name: GOLD COAST DENTAL PRACTICE OF DIANE BOVAL DDS A PROFESSIONAL DENTAL CORPORATION
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: BOVAL, DIANE LEE
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: BOVAL, DIANE LEE
License/Registration Type: Dentist License
License Number: 48630 Primary Status: Current - Active
Address :
901 W Whittier Blvd
LA HABRA CA 90631-3743
ORANGE COUNTY
