Dental Board of California
Licensing details for: 5981
Name: DENTAL DESIGN SPA, DENTAL OFFICE OF K AGATEP, DDS, INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
3737 MORAGA AVE, STE B311
SAN DIEGO CA 92117
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: AGATEP, KATHRINA LEGASPI
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: AGATEP, KATHRINA LEGASPI
License/Registration Type: Dentist License
License Number: 51540 Primary Status: Current - Active
Address :
5531 Cancha De Golf
102
RANCHO SANTA FE CA 92091-4624
SAN DIEGO COUNTY
