Dental Board of California
Licensing details for: 7728
Name: ALTA VISTA DENTAL, DENTAL OFFICE OF JORGE A. URREA, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: ALTA VISTA DENTAL
Address of Record
100 N RANCHO SANTA FE ROAD
STE. 123
SAN MARCOS CA 92069
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: URREA, JORGE ALBERTO
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: URREA, JORGE ALBERTO
License/Registration Type: Dentist License
License Number: 54777 Primary Status: Current - Active
Address :
775 Shadowridge Dr
VISTA CA 92083-7997
SAN DIEGO COUNTY
