Dental Board of California
Licensing details for: 108014
Name: BOUTROS, ANASTASIA ADEL
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by ADEX
Address of Record
6641 SILENT HARBOR DR.
HUNTINGTON BEACH CA 92648
ORANGE county
Map
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: Candlewood Smiles Dentistry, Dental Group of Candlewood Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20332 Primary Status: Current - Active
Address :
4443 Candlewood St
LAKEWOOD CA 90712-1736
LOS ANGELES COUNTY
