Dental Board of California
Licensing details for: 25725
Name: JOHNSIN, BARRY
License Type: Dentist
Primary Status: Cancelled
Address of Record
26624 Nokomis Rd
RANCHO PALOS VERDES CA 90275-2449
LOS ANGELES 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: REDONDO ORAL SURGERY DENTAL PRACTICE OF BARRY JOHNSIN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 7576 Primary Status: Cancelled
Address :
1706 S. ELENA AVE.
REDONDO BEACH CA 90277
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: REDONDO ORAL SURGERY, DENTAL PRACTICE OF BARRY JOHNSIN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 7302 Primary Status: Cancelled
Address :
1706 S. ELENA AVE.
REDONDO BEACH CA 90277
LOS ANGELES 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: JOHNSIN, BARRY
License/Registration Type: General Anesthesia Permit
License Number: 32 Primary Status: Cancelled
Address :
1706 SO ELENA AVE
REDONDO BEACH CA 90277
LOS ANGELES COUNTY
