Dental Board of California
Licensing details for: 31574
Name: BRAND, MICHAEL JONATHAN
License Type: Dentist
Primary Status: Current - Active
License Relationships
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: 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
