Dental Board of California
Licensing details for: 36423
Name: KING, FIDELIS SANTILLAN
License Type: Dentist
Primary Status: Current - Active
Previous Names: SANTILLAN, FIDELIS CASTRO
Address of Record
646 N LARCHMONT BLVD
LOS ANGELES CA 90004
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: KING DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79097 Primary Status: Cancelled
Address :
7349 Topanga Canyon Blvd
CANOGA PARK CA 91303-1244
LOS ANGELES 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: KING DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8619 Primary Status: Cancelled
Address :
7220 OWENSMOUTH AVE
CANOGA PARK CA 91303
LOS ANGELES COUNTY
