Dental Board of California
Licensing details for: 17684
Name: GHOLDOIAN, GEORGE S
License Type: Dentist
Primary Status: Cancelled
Secondary Status: Radiation Safety Certification issued by the Board
Address of Record
19501 SUMMER BREEZE LANE
HUNTINGTON BEACH CA 92648
ORANGE 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: A MICHAELS, G GHOLDOIAN, AND D GALLO PROFESSIONAL DENTAL CORP
License/Registration Type: Additional Office Permit
License Number: 7896 Primary Status: Cancelled
Address :
2720 FLETCHER PKWY
EL CAJON CA 92020
SAN DIEGO COUNTY
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: A MICHELS, G GHOLDOIAN AND D GALLO PROFESSIONAL DENTAL CORP
License/Registration Type: Additional Office Permit
License Number: 7890 Primary Status: Cancelled
Address :
15706 POMERADO RD, #201
POWAY CA 92064
SAN DIEGO COUNTY
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: GEORGE S GHOLDOIAN, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 8034 Primary Status: Cancelled
Address :
10445 LAKEWOOD BL
DOWNEY CA 90241
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DOWNEY ORTHODONTIC CENTER, DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 4475 Primary Status: Cancelled
Address :
10445 LAKEWOOD BLVD, STE 101
DOWNEY CA 90241
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DOWNEY ORTHODONTIC CENTER, GHOLDOIAN DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 9007 Primary Status: Cancelled
Address :
10501 LAKEWOOD BOULEVARD
STE. B
DOWNEY CA 90241
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: DOWNEY ORTHODONTIC CENTER, DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 4475 Primary Status: Cancelled
Address :
10445 LAKEWOOD BLVD, STE 101
DOWNEY CA 90241
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: DOWNEY ORTHODONTIC CENTER, GHOLDOIAN DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 9007 Primary Status: Cancelled
Address :
10501 LAKEWOOD BOULEVARD
STE. B
DOWNEY CA 90241
LOS ANGELES COUNTY
