Dental Board of California
Licensing details for: 7335
Name: HEALTHY SMILE DENTAL GROUP, PATRICIA Y. LOPEZ, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: HEALTHY SMILE GROUP
Address of Record
675 SOUTH SECOND AVE.
COVINA CA 91723
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LOPEZ, PATRICIA Y
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, PATRICIA Y
License/Registration Type: Dentist License
License Number: 55961 Primary Status: Current - Active
Address :
1534 E Amar Rd Ste A
WEST COVINA CA 91792-1639
LOS ANGELES COUNTY
