Dental Board of California
Licensing details for: 19611
Name: Diane Boval DDS a Professional Dental Corporation
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: GOLD COAST DENTAL
Address of Record
322 N. GLENDALE AVE.
GLENDALE CA 91206
LOS ANGELES county
Map
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: 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
