Dental Board of California
Licensing details for: 100587
Name: NICHOLS, JUSTIN WILLIAM
License Type: Dentist
Primary Status: Expired
Method of Application: Licensure by Portfolio
Address of Record
2745 Pine Creek Cir
FULLERTON CA 92835-2937
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MISSION DENTAL PRACTICE OF JUSTIN W. NICHOLS, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16520 Primary Status: Cancelled
Address :
17300 YORBA LINDA BLVD #E
YORBA LINDA CA 92886
ORANGE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MISSION DENTAL PRACTICE OF JUSTIN W. NICHOLS, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16520 Primary Status: Cancelled
Address :
17300 YORBA LINDA BLVD #E
YORBA LINDA CA 92886
ORANGE COUNTY
