Dental Board of California
Licensing details for: 4157
Name: ULTRA DENTAL CARE +, A DENTAL PRACTICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
786 B STREET
HAYWARD CA 94541
ALAMEDA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: COTAS, ARLENE IGNACIO
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: COTAS, ARLENE I
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: COTAS, ARLENE IGNACIO
License/Registration Type: Dentist License
License Number: 47062 Primary Status: Current - Active
Address :
2939 Simba Pl
BRENTWOOD CA 94513-5127
CONTRA COSTA COUNTY
