Dental Board of California
Licensing details for: 21856
Name: CARLSEN, GARY D
License Type: Dentist
Primary Status: Expired
Previous Names: CARLSEN, GARY DAVID
Address of Record
17822 BEACH BL NO 342
HUNTINGTON BEACH CA 92647
ORANGE county
Map
License Relationships
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: CARLSEN, GARY D
License/Registration Type: General Anesthesia Permit
License Number: 494 Primary Status: Cancelled
Address :
17822 BEACH BLVD #342
HUNTINGTON BEACH CA 92647
ORANGE COUNTY
