Dental Board of California
Licensing details for: 4591
Name: GUADALUPANA DENTAL PRACTICE, RUBEN MENDEZ, DDS,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
16701 VALLEY BLVD, STE D
FONTANA CA 92335
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MENDEZ, RUBEN
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: MENDEZ, RUBEN
License/Registration Type: Dentist License
License Number: 50644 Primary Status: Current - Active
Address :
68100 RAMON RD #A4
CATHEDRAL CITY CA 92234
RIVERSIDE COUNTY
