Dental Board of California
Licensing details for: 42888
Name: SOUTHERS, ERIK LEROY
License Type: Dentist
Primary Status: Current - Active
Address of Record
5001 W Cerritos Ave
Suite #B
CYPRESS CA 90630-4570
ORANGE 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: ERIK SOUTHERS, DDS
License/Registration Type: Additional Office Permit
License Number: 9393 Primary Status: Current - Active
Address :
450 S. SECOND AVE.
BARSTOW CA 92311
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CYPRESS ORTHODONTICS, DENTAL PRACTICE OF ERIK SOUTHERS DDS MS INC
License/Registration Type: Fictitious Name Permit
License Number: 17454 Primary Status: Current - Active
Address :
5001 Cerritos Ave Ste B
CYPRESS CA 90630-4570
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: CYPRESS ORTHODONTICS, DENTAL PRACTICE OF ERIK SOUTHERS DDS MS INC
License/Registration Type: Fictitious Name Permit
License Number: 17454 Primary Status: Current - Active
Address :
5001 Cerritos Ave Ste B
CYPRESS CA 90630-4570
