Dental Board of California
Licensing details for: 28603
Name: PALMER, PAUL BRIAN
License Type: Dentist
Primary Status: Current - Inactive
Previous Names: PALMER, PAUL B
Address of Record
23569 Sunnymead Ranch Pkwy
ste A
MORENO VALLEY CA 92557-2884
RIVERSIDE 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: PALMER DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 10264 Primary Status: Cancelled
Address :
2105 SAN JOAQUIN HILL RD.
NEWPORT BEACH CA 92660
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: CULVER DEL REY DENTAL CENTER, PAUL B. PALMER, DDS, INC., DENTAL O
License/Registration Type: Fictitious Name Permit
License Number: 10537 Primary Status: Cancelled
Address :
12202 W. WASHINGTON BOULEVARD
LOS ANGELES CA 90066
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: CULVER DEL REY DENTAL CENTER, DR. PALMER AND DR. BRAND DENTAL OFF
License/Registration Type: Fictitious Name Permit
License Number: 6656 Primary Status: Cancelled
Address :
12202 W. WASHINGTON BLVD.
LOS ANGELES CA 90066
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: PALMER & BRAND CULVER DEL REY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 1581 Primary Status: Cancelled
Address :
12756 W WASHINGTON BLVD
LOS ANGELES CA 90066
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: PALMER & BRAND CULVER DEL REY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 2868 Primary Status: Cancelled
Address :
12202 WASHINGTON BLVD
LOS ANGELES CA 90066
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: NEWPORT DENTAL CENTER GROUP, DENTAL OFFICE OF PALMER DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 8904 Primary Status: Cancelled
Address :
2105 SAN JOAQUIN HILLS RD.
NEWPORT BEACH CA 92660
ORANGE COUNTY
