Dental Board of California
Licensing details for: 44055
Name: PAVLOV, NIKOLAI PAVLOV
License Type: Dentist
Primary Status: Expired
Secondary Status: Early Termination of Probation ❖ Reduced Renewal Fee
Previous Names: PAVIOV, NIKOLAI PAVLOV
License Relationships
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: LA JOLLA TOWNSIDE FAMILY DENTISTRY GROUP, N. PAVLOV, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8169 Primary Status: Cancelled
Address :
706 TOWNSITE DRIVE
VISTA CA 92084
SAN DIEGO COUNTY
