Dental Board of California
Licensing details for: 21155
Name: LASKA, MARK SROL
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Radiation Safety Certification
Previous Names: LASKA, MARK S
Address of Record
3470 Wilshire Blvd Ste 450
LOS ANGELES CA 90010-2207
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: LASKA DENTAL, INC
License/Registration Type: Additional Office Permit
License Number: 80521 Primary Status: Expired
Address :
5602 W MANCHESTER AVE
LOS ANGELES CA 90045
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: MID WILSHIRE DENTAL CARE, DENTAL OFFICE OF MARK S. LASKA, DDS, IN
License/Registration Type: Fictitious Name Permit
License Number: 8287 Primary Status: Expired
Address :
3460 WILSHIRE BOULEVARD
STE. 210
LOS ANGELES CA 90010
LOS ANGELES COUNTY
