Dental Board of California
Licensing details for: 7290
Name: ST. MOISES DENTAL, OFFICE OF UBLESTER GOMEZ, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: ST MOISES DENTAL
Address of Record
12 RANCHO CAMINO DR.
STE. 102
POMONA CA 91766
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GOMEZ, UBLESTER
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: GOMEZ, UBLESTER
License/Registration Type: Dentist License
License Number: 46064 Primary Status: Current - Active
Address :
12 Rancho Camino Dr
suite 102
POMONA CA 91766-7005
LOS ANGELES COUNTY
