Dental Board of California
Licensing details for: 42430
Name: THEODOROU, LARISA
License Type: Dentist
Primary Status: Current - Active
Address of Record
19717 SHERMAN WAY
CANOGA PARK CA 91306
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VICTORIAN DENTAL GROUP, THEODOROU PROFESSIONAL DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 1550 Primary Status: Current - Active
Address :
19717 SHERMAN WAY
CANOGA PARK CA 91306
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: VICTORIAN DENTAL GROUP, THEODOROU PROFESSIONAL DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 1550 Primary Status: Current - Active
Address :
19717 SHERMAN WAY
CANOGA PARK CA 91306
LOS ANGELES COUNTY
