Dental Board of California
Licensing details for: 49467
Name: BARZALLO, EDWIN O
License Type: Dentist
Primary Status: Current - Active
Address of Record
741 S Atlantic Blvd
LOS ANGELES CA 90022-3213
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: EDWIN O BARZALLO, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 8196 Primary Status: Cancelled
Address :
871 SOUTH ATLANTIC BLVD
MONTEREY PARK CA 91754
LOS ANGELES 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: EDWIN O. BARZALLO, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 9904 Primary Status: Cancelled
Address :
4096 TWEEDY AVENUE
SOUTH GATE CA 90280
LOS ANGELES COUNTY
