Dental Board of California
Licensing details for: 8302
Name: COSMETIC DENTISTRY CENTER OF SAN DIEGO, DENTAL OFFICE OF NATHAN J
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: COSMETIC DENTISTRY CENTER OF SAN DIEGO
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HORNSBY, NATHAN JAMES
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: HORNSBY, NATHAN JAMES
License/Registration Type: Dentist License
License Number: 58078 Primary Status: Current - Active
Address :
940 B STREET
SAN DIEGO CA 92101
SAN DIEGO COUNTY
