Dental Board of California
Licensing details for: 2905
Name: VISALIA FAMILY DENTISTRY
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
4239 W MINERAL KING AVENUE
VISALIA CA 93277
TULARE 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: ANTOLIN, RALPH CALUAG
License/Registration Type: Dentist License
License Number: 46017 Primary Status: Current - Active
Address :
4216 W HAROLD COURT
VISALIA CA 93291
TULARE COUNTY
