Dental Board of California
Licensing details for: 101523
Name: ORTEGA, MARK STEVEN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
5175 E Pacific Coast Hwy
204
LONG BEACH CA 90804-3317
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SANDCASTLE PEDIATRIC DENTISTRY DENTAL PRACTICE OF MARK ORTEGA, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 17578 Primary Status: Cancelled
Address :
5175 E. PACIFIC COAST HWY SUITE 204
LONG BEACH CA 90806
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SANDCASTLE PEDIATRIC DENTISTRY DENTAL PRACTICE OF MARK ORTEGA, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 19313 Primary Status: Current - Active
Address :
5175 PACIFIC COAST HWY STE 204
LONG BEACH CA 90804
LOS ANGELES 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: SANDCASTLE PEDIATRIC DENTISTRY DENTAL PRACTICE OF MARK ORTEGA, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 17578 Primary Status: Cancelled
Address :
5175 E. PACIFIC COAST HWY SUITE 204
LONG BEACH CA 90806
LOS ANGELES 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: SANDCASTLE PEDIATRIC DENTISTRY DENTAL PRACTICE OF MARK ORTEGA, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 19313 Primary Status: Current - Active
Address :
5175 PACIFIC COAST HWY STE 204
LONG BEACH CA 90804
LOS ANGELES COUNTY
