Dental Board of California
Licensing details for: 3546
Name: SANTA CLARITA FAMILY DENTISTRY, DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
22930 LYONS AVE
SANTA CLARITA CA 91321
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PENA, ROBERTO LIMCAOCO
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PENA, ROBERT L
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: PENA, ROBERTO LIMCAOCO
License/Registration Type: Dentist License
License Number: 37002 Primary Status: Current - Active
Address :
22930 LYONS AVE
SANTA CLARITA CA 91321
LOS ANGELES COUNTY
