Dental Board of California
Licensing details for: 30490
Name: OCTOMAN, CELIA PONCE
License Type: Dentist
Primary Status: Current - Active
Previous Names: TABILAS, CELIA OCTOMAN
Address of Record
2023 BEVERLY BLVD
LOS ANGELES CA 90057-2417
LOS ANGELES 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: CELIA P OCTOMAN, DMD, INC
License/Registration Type: Additional Office Permit
License Number: 7518 Primary Status: Current - Active
Address :
223 W SAN BERNARDINO RD
COVINA CA 91723
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CENTRAL DENTAL CARE, DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 3457 Primary Status: Current - Active
Address :
2023 BEVERLY BLVD
LOS ANGELES CA 90057
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CENTRAL DENTAL CARE, DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 3458 Primary Status: Current - Active
Address :
223 W SAN BERNARDINO ROAD
COVINA CA 91723
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: CENTRAL DENTAL CARE, DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 3457 Primary Status: Current - Active
Address :
2023 BEVERLY BLVD
LOS ANGELES CA 90057
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: CENTRAL DENTAL CARE, DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 3458 Primary Status: Current - Active
Address :
223 W SAN BERNARDINO ROAD
COVINA CA 91723
LOS ANGELES COUNTY
