I have been practicing Dental Hygiene for 22 yrs in the United States and have an active license here. Do these licenses transfer to Ecuador? I have heard there is a big demand for what I do. Dentists are terrible at Teeth cleaning and I have clients from all over the world who come to see me and cry about how bad cleanings are. I have even had celebrity clients. I have been in independent practice. Can I put out a shingle in Ecuador?