Dental Board of California
Licensing details for: 4972
Name: WEST COVINA DENTAL CARE, DENTAL PRACTICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
2145 W GARVEN AVE
WEST COVINA CA 91790
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LOPEZ, KATYUSKA PAREDES
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: LOPEZ, KATYUSKA PAREDES
License/Registration Type: Dentist License
License Number: 50967 Primary Status: Current - Active
Address :
23318 Olive Wood Plaza Dr
Suite C
MORENO VALLEY CA 92553-5219
RIVERSIDE COUNTY
