Dental Board of California
Licensing details for: 4928
Name: GENTLE DENTAL CALIFORNIA DENTAL, A DENTAL OFFICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
12800 HEACOCK ST, STE A-1
MORENO VALLEY CA 92553
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: COX, WILLIAM JOSEPH
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: COX, WILLIAM JOSEPH
License/Registration Type: Dentist License
License Number: 26160 Primary Status: Current - Active
Address :
4950 BARRANCA PKWY #105
IRVINE CA 92604
ORANGE COUNTY
