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: DEAN MIZUNO DDS
License/Registration Type: Additional Office Permit
License Number: 5216 Primary Status: Cancelled
Address :
35 SOUTH RAYMOND AVENUE
SUITE 201
PASADENA CA 91105
LOS ANGELES COUNTY
