Dental Board of California
Licensing details for: 33276
Name: DHARMAWAN, JEFFREY
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Prior Disciplinary Action
Previous Names: DHARMAWAN, JUSUF D ❖ DHARMAWAN, JUSUF DJOKO
Address of Record
PO Box 622
COLTON CA 92324-0622
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LA CADENA DENTAL OFFICE, DR JUSUF D DHARMAWAN INC
License/Registration Type: Fictitious Name Permit
License Number: 856 Primary Status: Cancelled
Address :
405 N LA CADENA
COLTON CA 92324
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LA CADENA DENTAL OFFICE, JEFFREY DHARMAWAN,
License/Registration Type: Fictitious Name Permit
License Number: 3932 Primary Status: Expired
Address :
190 WEST H STREET, #100
COLTON CA 92324
SAN BERNARDINO 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: LA CADENA DENTAL OFFICE, DR JUSUF D DHARMAWAN INC
License/Registration Type: Fictitious Name Permit
License Number: 856 Primary Status: Cancelled
Address :
405 N LA CADENA
COLTON CA 92324
SAN BERNARDINO 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: LA CADENA DENTAL OFFICE, JEFFREY DHARMAWAN,
License/Registration Type: Fictitious Name Permit
License Number: 3932 Primary Status: Expired
Address :
190 WEST H STREET, #100
COLTON CA 92324
SAN BERNARDINO COUNTY
