Dental Board of California
Licensing details for: 773
Name: SOUTHBAY PLAZA DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Previous Names: SOUTHBAY PLAZD DENTAL OFFICE
Address of Record
1210 E PLAZA BLVD
SUITE 405
NATIONAL CITY CA 92050
SAN DIEGO county
Map
License Relationships
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: DE ROSIER, DAVID PAUL
License/Registration Type: Dentist License
License Number: 35869 Primary Status: Current - Active
Address :
3019 EMERSON STREET
SAN DIEGO CA 92106
SAN DIEGO COUNTY
