Dental Board of California
Licensing details for: 3779
Name: SYCAMORE DENTAL PRACTICE, DAISY B COYOCA, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
5051 CANYON CREST DR, #103
RIVERSIDE CA 92507
RIVERSIDE 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: COYOCA, DAISY BATHAN
License/Registration Type: Dentist License
License Number: 39951 Primary Status: Expired
Address :
5051 Canyon Crest Dr Ste 103
RIVERSIDE CA 92507-6035
