Dental Board of California
Licensing details for: 4176
Name: BEAUTIFUL SMILE DENTISTRY, DENTAL OFFICE OF
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
6368 EL CAJON BLVD
SAN DIEGO CA 92115
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CALIXTO, LUIS E
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: CALIXTO, LUIS EDUARDO
License/Registration Type: Dentist License
License Number: 41363 Primary Status: Current - Active
Address :
6368 EL CAJON BLVD
SAN DIEGO CA 92115
SAN DIEGO COUNTY
