Dental Board of California
Licensing details for: 28919
Name: DARMSTADT, STEVEN DAVID
License Type: Dentist
Primary Status: Current - Active
Address of Record
1751 W ROMNEYA DR STE C
ANAHEIM CA 92801
ORANGE 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: BRYAN K WATANABE, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8734 Primary Status: Cancelled
Address :
10286 INDIANA AVENUE
RIVERSIDE CA 92503
RIVERSIDE COUNTY
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: BRYAN K. WATANABE, A PROF. DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 9769 Primary Status: Cancelled
Address :
10286 INDIANA AVE.
RIVERSIDE CA 92503
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GATEWAY DENTAL GROUP OF RIVERSIDE, BRYAN K. WATANABE, A PROFESSIO
License/Registration Type: Fictitious Name Permit
License Number: 7804 Primary Status: Cancelled
Address :
10286 INDIANA AVENUE
RIVERSIDE CA 92503
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LAKE FOREST DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2143 Primary Status: Cancelled
Address :
MEHRDOKHT MEHRAVARZI, DDS,INC.
23591 EL TORO ROAD
LAKE FOREST CA 92630
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GATEWAY DENTAL GROUP OF RIVERSIDE, BRYAN K WATANABE,
License/Registration Type: Fictitious Name Permit
License Number: 5900 Primary Status: Cancelled
Address :
10286 INDIANA AVE
RIVERSIDE CA 92503
RIVERSIDE 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: GATEWAY DENTAL GROUP OF RIVERSIDE, BRYAN K. WATANABE, A PROFESSIO
License/Registration Type: Fictitious Name Permit
License Number: 7804 Primary Status: Cancelled
Address :
10286 INDIANA AVENUE
RIVERSIDE CA 92503
RIVERSIDE 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: LAKE FOREST DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2143 Primary Status: Cancelled
Address :
MEHRDOKHT MEHRAVARZI, DDS,INC.
23591 EL TORO ROAD
LAKE FOREST CA 92630
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: GATEWAY DENTAL GROUP OF RIVERSIDE, BRYAN K WATANABE,
License/Registration Type: Fictitious Name Permit
License Number: 5900 Primary Status: Cancelled
Address :
10286 INDIANA AVE
RIVERSIDE CA 92503
RIVERSIDE 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: DARMSTADT, STEVEN D
License/Registration Type: General Anesthesia Permit
License Number: 2035 Primary Status: Current - Active
Address :
1751 W ROMNEYA DR, STE. C
ANAHEIM CA 92801
ORANGE 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: DARMSTADT, STEVEN DAVID
License/Registration Type: General Anesthesia Permit
License Number: 710 Primary Status: Cancelled
Address :
1801 W. ROMNEYA DRIVE
#408
ANAHEIM CA 92801
ORANGE COUNTY
New License to Old License
License/Registration Role: Old Dentist License
Related Party Role: New Dentist License
Name: MEHRVARZI, MEHRDOKHT
License/Registration Type: Dentist License
License Number: 39184 Primary Status: Current - Active
Address :
PO Box 16716
IRVINE CA 92623-6716
ORANGE COUNTY
