Dental Board of California
Licensing details for: 47080
Name: GOGILTAN-WAXLER, ELENA LUCIA
License Type: Dentist
Primary Status: Current - Active
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: GOGILTAN WAXLER AND SETAREH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11843 Primary Status: Cancelled
Address :
2410 SYCAMORE DRIVE
SUITE A
SIMI VALLEY CA 93065
VENTURA COUNTY
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: GOGILTAN -WAXLER AND SETAREH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81567 Primary Status: Current - Active
Address :
3013 COCHRAN STREET, SUITE D
SIMI VALLEY CA 93065
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIMI VALLEY DENTAL GROUP AND ORTHODONTICS, GOGILTAN WAXLER AND SE
License/Registration Type: Fictitious Name Permit
License Number: 12075 Primary Status: Cancelled
Address :
2410 SYCAMORE DRIVE, SUITE A
SIMI VALLEY CA 93065
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIMI VALLEY DENTAL GROUP, GOGILTAN WAXLER AND SETAREH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17974 Primary Status: Current - Active
Address :
3013 COCHRAN STREET, SUITE D
SIMI VALLEY CA 93065
VENTURA 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: SIMI VALLEY DENTAL GROUP, GOGILTAN WAXLER AND SETAREH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17974 Primary Status: Current - Active
Address :
3013 COCHRAN STREET, SUITE D
SIMI VALLEY CA 93065
VENTURA 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: SIMI VALLEY DENTAL GROUP AND ORTHODONTICS, GOGILTAN WAXLER AND SE
License/Registration Type: Fictitious Name Permit
License Number: 12075 Primary Status: Cancelled
Address :
2410 SYCAMORE DRIVE, SUITE A
SIMI VALLEY CA 93065
VENTURA COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: GOGILTAN-WAXLER, ELENA LUCIA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 837 Primary Status: Cancelled
Address :
7140 SALISBURY
WEST HILLS CA 91307
LOS ANGELES COUNTY
