Dental Board of California
Licensing details for: 37769
Name: ACOSTA, ADRIAN
License Type: Dentist
Primary Status: Current - Active
Address of Record
901 W Whittier Blvd
LA HABRA CA 90631-3743
ORANGE county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: ACOSTA, ADRIAN
License/Registration Type: Conscious Sedation Permit
License Number: 848 Primary Status: Cancelled
Address :
901 W. WHITTIER BLVD
LA HABRA CA 90631
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PASS FAMILY DENTISTRY
License/Registration Type: Fictitious Name Permit
License Number: 2522 Primary Status: Cancelled
Address :
4240 W RAMSEY
BANNING CA 92220
RIVERSIDE 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: PASS FAMILY DENTISTRY
License/Registration Type: Fictitious Name Permit
License Number: 2522 Primary Status: Cancelled
Address :
4240 W RAMSEY
BANNING CA 92220
RIVERSIDE COUNTY
