Dental Board of California
Licensing details for: 31582
Name: CANNON, WILLIAM JOSEPH
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Reduced Renewal Fee
Address of Record
1702 S Robertson Blvd
# 2 1 2
c/o Dr. W. J. Cannon
LOS ANGELES CA 90035-4316
LOS ANGELES county
Map
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: CHILDREN'S DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 732 Primary Status: Cancelled
Address :
SCOTT JACKS DDS INC
4444 TWEEDY BLVD
SOUTH GATE CA 90292
LOS ANGELES COUNTY
