Dental Board of California
Licensing details for: 107711
Name: COWAN, JUSTIN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
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: Long Beach Modern Dentistry, Dental Group of Long Beach Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20314 Primary Status: Current - Active
Address :
4630 E Pacific Coast Hwy Unit 3
LONG BEACH CA 90804
