Dental Board of California
Licensing details for: 101334
Name: LIU, SAMUEL
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
3231 S Bentley Ave
LOS ANGELES CA 90034-5203
LOS ANGELES county
Map
License Relationships
FCS to DDS
License/Registration Role: Must hold an active Dental License
Related Party Role: Elective Facial Cosmetic Surgery Permit
Name: LIU, SAMUEL
License/Registration Type: Elective Facial Cosmetic Surgery Permit
License Number: 39 Primary Status: Current - Active
Address :
3231 S Bentley Ave
LOS ANGELES CA 90034-5203
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: DOWNEY ORAL AND MAXILLOFACIAL SURGERY DENTAL PRACTICE OF DR. SAMUEL LIU AND DR. SIRISH MAKAN
License/Registration Type: Fictitious Name Permit
License Number: 18852 Primary Status: Current - Active
Address :
10601 PARAMOUNT BLVD
DOWNEY CA 90241
LOS ANGELES COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: LIU, SAMUEL
License/Registration Type: General Anesthesia Permit
License Number: 1883 Primary Status: Current - Active
Address :
11600 WILSHIRE BLVD STE 316
LOS ANGELES CA 90025
LOS ANGELES COUNTY
