Dental Board of California
Licensing details for: 5584
Name: DENTAL ART DESIGNS AT EASTLAKE, THE DENTAL OFFICE OF
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
860 KUHN DRIVE
CHULA VISTA CA 91914
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GOMES, JUAN ANDRE
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: GOMES, JUAN ANDRE
License/Registration Type: Dentist License
License Number: 45863 Primary Status: Current - Active
Address :
860 KUHN DR STE 203
CHULA VISTA CA 91914
SAN DIEGO COUNTY
