Dental Board of California
Licensing details for: 26255
Name: BERKE, SAMUEL DAVID
License Type: Dentist
Primary Status: Expired
Address of Record
2705 BUNGALOW PLACE
CORONA DEL MAR CA 92625
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DR BERKE'S GOLDEN AGE DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 1056 Primary Status: Cancelled
Address :
DENTAL PRACTICE
701 S. RAYMOND AVENUE, STE. 4B
FULLERTON CA 92631
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GOLDEN AGE DENTAL CARE, DENTAL PRACTICE OF BERKE DENTAL CORPORATI
License/Registration Type: Fictitious Name Permit
License Number: 10518 Primary Status: Cancelled
Address :
701 S. RAYMOND AVENUE, STE. 4B
FULLERTON CA 92831
ORANGE 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: DR BERKE'S GOLDEN AGE DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 1056 Primary Status: Cancelled
Address :
DENTAL PRACTICE
701 S. RAYMOND AVENUE, STE. 4B
FULLERTON CA 92631
ORANGE 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: GOLDEN AGE DENTAL CARE, DENTAL PRACTICE OF BERKE DENTAL CORPORATI
License/Registration Type: Fictitious Name Permit
License Number: 10518 Primary Status: Cancelled
Address :
701 S. RAYMOND AVENUE, STE. 4B
FULLERTON CA 92831
ORANGE COUNTY
