Dental Board of California
Licensing details for: 39398
Name: EZEANI, HYACINTH EZEBILO
License Type: Dentist
Primary Status: Current - Active
Address of Record
460 E Carson Plaza Dr
suite 114
CARSON CA 90746-3228
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: HYACINTH E. EZEANI, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 8597 Primary Status: Cancelled
Address :
20763 AVALON BLVD
CARSON CA 90746
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: HYACINTH E. EZEANI, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 8439 Primary Status: Cancelled
Address :
460 CARSON PLAZA DR, STE 122
CARSON CA 90746
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CONTINENTAL DENTAL GROUP - DR. EZEANI
License/Registration Type: Fictitious Name Permit
License Number: 1772 Primary Status: Cancelled
Address :
600 W MANCHESTER AVENUE #2
LOS ANGELES CA 90044
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: CONTINENTAL DENTAL GROUP - DR. EZEANI
License/Registration Type: Fictitious Name Permit
License Number: 1772 Primary Status: Cancelled
Address :
600 W MANCHESTER AVENUE #2
LOS ANGELES CA 90044
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: EZEANI, HYACINTH EZEBILO
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 502 Primary Status: Cancelled
Address :
600 W MANCHESTER AVE
SUITE 2
LOS ANGELES CA 90044
LOS ANGELES COUNTY
