Dental Board of California
Licensing details for: 17302
Name: KOHN, MARKELL W
License Type: Dentist
Primary Status: Cancelled
Address of Record
14299 MANGO DRIVE
DEL MAR CA 92014
SAN DIEGO 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: MARKELL WILLIAM KOHN, DDS
License/Registration Type: Additional Office Permit
License Number: 7256 Primary Status: Cancelled
Address :
752 MEDICAL CENTER COURT #205
CHULA VISTA CA 91910
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE SAN DIEGO CENTER FOR ORAL & MAXILLOFACIAL SURGERY
License/Registration Type: Fictitious Name Permit
License Number: 3500 Primary Status: Cancelled
Address :
752 MEDICAL CENTER CT, STE 205
CHULA VISTA CA 91911
SAN DIEGO 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: THE SAN DIEGO CENTER FOR ORAL & MAXILLOFACIAL SURGERY
License/Registration Type: Fictitious Name Permit
License Number: 3500 Primary Status: Cancelled
Address :
752 MEDICAL CENTER CT, STE 205
CHULA VISTA CA 91911
SAN DIEGO 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: KOHN, MARKELL W
License/Registration Type: General Anesthesia Permit
License Number: 875 Primary Status: Cancelled
Address :
14299 MANGO DRIVE
DEL MAR CA 92014
SAN DIEGO COUNTY
