Dental Board of California
Licensing details for: 428
Name: LOPEZ, ALEX DIAZ
License Type: Moderate Sedation Permit
Primary Status: Current - Active
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ANTELOPE VALLEY DENTAL SURGERY CENTER DENTAL GROUP OF SNOW, NAKANO & LOPEZ PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15280 Primary Status: Current - Active
Address :
868 AUTO CENTER DRIVE SUITE A
PALMDALE CA 93551
LOS ANGELES COUNTY
MS to DDS or OMS or SP
License/Registration Role: Moderate Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: LOPEZ, ALEX DIAZ
License/Registration Type: Dentist License
License Number: 44012 Primary Status: Current - Active
Address :
868 Auto Center Dr
Suite A
PALMDALE CA 93551-4690
LOS ANGELES COUNTY
