Dental Board of California
Licensing details for: 844
Name: IMPLANT DENTISTRY OF SAN DIEGO
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: IMPLANT DENTISTRY OF SAN DIEGO, WILLIAM NORDQUIST DMD INC
Address of Record
WILLIAM NORDQUIST DMD INC. DENTAL PRACT.
2304 6TH AVENUE
SAN DIEGO CA 92101
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NORDQUIST, WILLIAM D
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NORDQUIST, WILLIAM DEAN
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: NORDQUIST, WILLIAM DEAN
License/Registration Type: Dentist License
License Number: 25281 Primary Status: Current - Active
Address :
236 Jamacha Rd
EL CAJON CA 92019-2366
SAN DIEGO COUNTY
