Dental Board of California
Licensing details for: 7872
Name: VISALIA FAMILY DENTISTRY, DENTAL OFFICE OF RALPH C. ANTOLIN DENTA
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ANTOLIN, RALPH CALUAG
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: ANTOLIN, RALPH CALUAG
License/Registration Type: Dentist License
License Number: 46017 Primary Status: Current - Active
Address :
1644 W CALDWELL AVE
STE A
VISALIA CA 93277
TULARE COUNTY
