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Licensing details for: 19612

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

5680 CALLE REAL
GOLETA CA 93117
SANTA BARBARA county
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Issuance Date

June 26, 2025

Expiration Date

June 30, 2027

Current Date / Time

December 15, 2025
8:57:55 PM

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

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