Dental Board of California
Licensing details for: 107744
Name: SELF, BRITTANY LAUREN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
100 E Main St
Suite 130
ALHAMBRA CA 91801-3580
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BRITTANY SELF, DDS
License/Registration Type: Additional Office Permit
License Number: 81746 Primary Status: Current - Active
Address :
100 E. MAIN STREET, #130
ALHAMBRA CA 91801
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALHAMBRA MODERN DENTISTRY DENTAL GROUP, GALSTYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18482 Primary Status: Current - Active
Address :
100 E. MAIN STREET, #130
ALHAMBRA CA 91801
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: ALHAMBRA MODERN DENTISTRY DENTAL GROUP, GALSTYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18482 Primary Status: Current - Active
Address :
100 E. MAIN STREET, #130
ALHAMBRA CA 91801
LOS ANGELES COUNTY
