Dental Board of California
Licensing details for: 4846
Name: HEALTHY SMILE DENTAL CARE, DENTAL OFFICE,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
651 S BEACH BLVD
LA HABRA CA 90631
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LEE, HSIN-YING DIANE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BOVAL, DIANE LEE
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: BOVAL, DIANE LEE
License/Registration Type: Dentist License
License Number: 48630 Primary Status: Current - Active
Address :
901 W Whittier Blvd
LA HABRA CA 90631-3743
ORANGE COUNTY
