Dental Board of California
Licensing details for: 44093
Name: SOURIALLE, ANTOINE ONSI
License Type: Dentist
Primary Status: Current - Active
Previous Names: SOURIALLE, ANTONIE ONSI
Address of Record
399 E Highland Ave
Suite 120
SAN BERNARDINO CA 92404-3808
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ST BERNARDINE DENTAL CENTER DENTAL GROUP OF ANTOINE SOURIALLE DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 19060 Primary Status: Current - Active
Address :
399 E HIGHLAND AVE 120
SAN BERNARDINO CA 92404
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SOUTHLAND DENTAL GROUP, ANTOINE SOURIALLE, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4560 Primary Status: Current - Active
Address :
399 E HIGHLAND AVE, STE 120
SAN BERNARDINO CA 92404
SAN BERNARDINO 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: ST BERNARDINE DENTAL CENTER DENTAL GROUP OF ANTOINE SOURIALLE DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 19060 Primary Status: Current - Active
Address :
399 E HIGHLAND AVE 120
SAN BERNARDINO CA 92404
SAN BERNARDINO 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: SOUTHLAND DENTAL GROUP, ANTOINE SOURIALLE, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4560 Primary Status: Current - Active
Address :
399 E HIGHLAND AVE, STE 120
SAN BERNARDINO CA 92404
SAN BERNARDINO COUNTY
