Dental Board of California
Licensing details for: 2959
Name: INLAND DENTAL OF MORENO VALLEY
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
24655 SUNNYMEAD BLVD
MORENO VALLEY CA 92553
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CARLISLE, DAVID JAMES
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: CARLISLE, DAVID JAMES
License/Registration Type: Dentist License
License Number: 43765 Primary Status: Current - Active
Address :
31737 Riverside Dr
Suite B
LAKE ELSINORE CA 92530-7890
RIVERSIDE COUNTY
