Dental Board of California
Licensing details for: 43249
Name: SOUCHITSKI, ANDREI
License Type: Dentist
Primary Status: Current - Active
Address of Record
514 E WASHINGTON BLVD
LOS ANGELES CA 90015
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: ANDREI SOUCHITSKI, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 11859 Primary Status: Expired
Address :
2007 WILSHIRE BLVD
SUITE 525
LOS ANGELES CA 90057
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MCARTHUR PARK DENTAL OFFICE, OF ANDREI SOUCHITSKI, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 11913 Primary Status: Current - Active
Address :
2007 WILSHIRE BLVD #525
LOS ANGELES CA 90057
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CENTRO MEDICO AND DENTAL FAMILIAR DENTAL PRACTICE,
License/Registration Type: Fictitious Name Permit
License Number: 4448 Primary Status: Expired
Address Not Disclosed
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: MCARTHUR PARK DENTAL OFFICE, OF ANDREI SOUCHITSKI, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 11913 Primary Status: Current - Active
Address :
2007 WILSHIRE BLVD #525
LOS ANGELES CA 90057
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: CENTRO MEDICO AND DENTAL FAMILIAR DENTAL PRACTICE,
License/Registration Type: Fictitious Name Permit
License Number: 4448 Primary Status: Expired
Address Not Disclosed
