Dental Board of California

Licensing details for: 5468

Name: TEMECULA DENTAL! A DENTAL OFFICE OF FRATT DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

30571 HWY 79 SOUTH, STE D
TEMECULA CA 92592
RIVERSIDE county
Map

Issuance Date

April 5, 2005

Expiration Date

July 31, 2011

Current Date / Time

December 13, 2025
3:38:44 PM

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: FRATT, DENNIS R

License/Registration Type: Dentist License

License Number: 24779 Primary Status: Expired

Address :
1005 BAYSIDE COVE
NEWPORT BEACH CA 92660
ORANGE COUNTY