Dental Board of California
Licensing details for: 9760
Name: DESTINY DENTAL, DENTAL PRACTICE, DIANE O. VALDEZ, DDS, A DENTAL C
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: DESTINY DENTAL
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VALDEZ, DIANE OCHOA
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: VALDEZ, DIANE OCHOA
License/Registration Type: Dentist License
License Number: 31411 Primary Status: Current - Active
Address :
31515 RANCHO PUEBLO RD.
SUITE 204
TEMECULA CA 92592
RIVERSIDE COUNTY
