Dental Board of California
Licensing details for: 30554
Name: HART, HARRY A
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Probation Terminated
Previous Names: HART, HARRY ALLEN ❖ HART, HARRY
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: HARRY A. HART, DDS
License/Registration Type: Additional Office Permit
License Number: 6079 Primary Status: Cancelled
Address :
11999 PALM AVENUE
DESERT HOT SPRINGS CA 92240
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: HARRY A. HART, DDS
License/Registration Type: Additional Office Permit
License Number: 9993 Primary Status: Current - Active
Address :
56728 29 PALMS HIGHWAY
YUCCA VALLEY CA 92284
SAN BERNARDINO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: HART, HARRY A
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1889 Primary Status: Cancelled
Address :
301 E. FLORIDA AVENUE #A
HEMET CA 92543
RIVERSIDE COUNTY



