Dental Board of California
Licensing details for: 46821
Name: HERBERT, JENNIFER
License Type: Dentist
Primary Status: Current - Active
Address of Record
3900 San Fernando Rd
#1017A
GLENDALE CA 91204-2738
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: JENNIFER HERBERT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79933 Primary Status: Current - Active
Address :
3900 SAN FERNANDO ROAD, SUITE A
GLENDALE CA 91204
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SCRIPPS DENTAL GROUP, KIRK E TINER, DDS AND
License/Registration Type: Fictitious Name Permit
License Number: 5187 Primary Status: Cancelled
Address :
79 SCRIPPS DR, STE 204
SACRAMENTO CA 95825
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF GLENDALE DENTAL GROUP JENNIFER HERBERT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14720 Primary Status: Current - Active
Address :
3900 SAN FERNANDO ROAD., SUITE A
GLENDALE CA 91204
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: SCRIPPS DENTAL GROUP, KIRK E TINER, DDS AND
License/Registration Type: Fictitious Name Permit
License Number: 5187 Primary Status: Cancelled
Address :
79 SCRIPPS DR, STE 204
SACRAMENTO CA 95825
SACRAMENTO 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: DENTISTS OF GLENDALE DENTAL GROUP JENNIFER HERBERT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14720 Primary Status: Current - Active
Address :
3900 SAN FERNANDO ROAD., SUITE A
GLENDALE CA 91204
LOS ANGELES COUNTY
