Dental Board of California
Licensing details for: 51199
Name: LAMBRIDIS, DEAN
License Type: Dentist
Primary Status: Current - Active
Address of Record
30831 MARSEILLE WAY
WESTLAKE VILLAGE CA 91362
VENTURA 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: POLAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11778 Primary Status: Cancelled
Address :
2660 5TH STREET
SUITE 30
ALAMEDA CA 94501
ALAMEDA 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: JEDEDIAH HUSS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80835 Primary Status: Current - Active
Address :
806 NEW LOS ANGELES AVENUE, SUITE B
MOORPARK CA 93021
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: KAHBODY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79189 Primary Status: Cancelled
Address :
8630 Sierra College Blvd
SUITE 110
ROSEVILLE CA 95661-6062
PLACER 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: PANGILINAN AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79379 Primary Status: Cancelled
Address :
3332 N TEXAS ST STE 5C
FAIRFIELD CA 94533
SOLANO 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: LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79170 Primary Status: Cancelled
Address :
1760 E Avenida De Los Arboles
SUITE A
THOUSAND OAKS CA 91362-1391
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: MICHAEL LOPEZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 78893 Primary Status: Cancelled
Address :
2103 MCHENRY AVENUE
SUITE C
MODESTO CA 95350
STANISLAUS 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: GISELLE MAR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79314 Primary Status: Current - Active
Address :
2380 Las Posas Rd
SUITE A
CAMARILLO CA 93010-3456
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: JOSEPH HANNA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 12050 Primary Status: Cancelled
Address :
43531 10TH STREET W
LANCASTER CA 93534
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: SATAREH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11873 Primary Status: Cancelled
Address :
18519 DEVONSHIRE STREET
NORTHRIDGE CA 91324
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: LOPEZ AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11510 Primary Status: Cancelled
Address :
4375 1ST STREET
LIVERMORE CA 94551
ALAMEDA 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: LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80356 Primary Status: Current - Active
Address :
1760 E. AVENIDA DE LOS ARBOLES, SUITE A
THOUSAND OAKS CA 91362
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: 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: BRYANT VEST DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11509 Primary Status: Current - Active
Address :
1259 PLEASANT GROVE BLVD., SUITE 100
ROSEVILLE CA 95678
PLACER 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: PANGILINAN AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79378 Primary Status: Cancelled
Address :
3332 N TEXAS ST STE 5D
FAIRFIELD CA 94533
SOLANO 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: EASLEY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11881 Primary Status: Cancelled
Address :
755 W RANCHO VISTA BLVD
PALMDALE CA 93551
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: LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 10890 Primary Status: Cancelled
Address :
1760 E AVENIDA DE LOS ARBOLES, STE A
THOUSAND OAKS CA 91362
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: KNIGHT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11908 Primary Status: Current - Active
Address :
2205 FRANCISCO DRIVE
SUITE 150
EL DORADO HILLS CA 95762
EL DORADO 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: LAMBRIDIS PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8679 Primary Status: Cancelled
Address :
593 MOORPARK BLVD, STE B
THOUSAND OAKS CA 91360
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: WATANABE AND GHAZAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79169 Primary Status: Cancelled
Address :
2465 Iron Point Rd
SUITE 120
FOLSOM CA 95630-8754
SACRAMENTO 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: GISELLE MAR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79316 Primary Status: Current - Active
Address :
2370-D E LAS POSAS ROAD
CAMARILLO CA 93010
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: WORKINGS AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79518 Primary Status: Current - Active
Address :
4900 VERDUGO WAY STE A
CAMARILLO CA 93012
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: LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79240 Primary Status: Cancelled
Address :
1760 E Avenida De Los Arboles Ste A
THOUSAND OAKS CA 91362-1392
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: DEAN LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79171 Primary Status: Cancelled
Address :
4360-C E MAIN STREET
BAKERSFIELD CA 93303
KERN 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
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: SZUTZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11835 Primary Status: Current - Active
Address :
401 KENILWORTH DRIVE
SUITE 960
PETALUMA CA 94952
SONOMA 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: MCMURRAY AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11678 Primary Status: Cancelled
Address :
1193 E CHAMPLAIN DRIVE
FRESNO CA 93720
FRESNO 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: VICUNA AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79277 Primary Status: Current - Active
Address :
3779 E CASTRO VALLEY BLVD
CASTRO VALLEY CA 94552
ALAMEDA 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: AIKEN AND HUSS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80886 Primary Status: Current - Active
Address :
593 N MOORPARK RD STE B
THOUSAND OAKS CA 91360
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: PATEL AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11693 Primary Status: Current - Active
Address :
6315 COMMERCE BLVD
ROHNERT PARK CA 94928
SONOMA 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: WORKINGS AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 9201 Primary Status: Cancelled
Address :
4900 VERDUGO WAY, STE. A
CAMARILLO CA 93012
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: AMARDEEP GILL AND DEAN LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79190 Primary Status: Cancelled
Address :
2654 Marconi Ave
SUITE 100
SACRAMENTO CA 95821-5106
SACRAMENTO 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: MARTIN GALSTYAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79145 Primary Status: Cancelled
Address :
813 Fair Oaks Ave
SOUTH PASADENA CA 91030-2605
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: VICUNA AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11777 Primary Status: Cancelled
Address :
2654 MARCONI AVENUE
SUITE 100
SACRAMENTO CA 95821
SACRAMENTO 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: JEFFERSON AND ELIE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 12047 Primary Status: Cancelled
Address :
28134 NEWHALL RANCH ROAD
VALENCIA CA 91355
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: BROWN AND GHAZAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11645 Primary Status: Cancelled
Address :
3967 MISSOURI FLAT ROAD
SUITE 120
PLACERVILLE CA 95667
EL DORADO 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: USHA MANTENA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 78991 Primary Status: Current - Active
Address :
671 Elmira Rd
Suite 130
VACAVILLE CA 95687-4655
SOLANO 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: PRIYA PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 78874 Primary Status: Cancelled
Address :
1208 Fitzgerald Dr
PINOLE CA 94564-2252
CONTRA COSTA 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: CAROLYN G. GHAZAL AND DEAN LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11870 Primary Status: Cancelled
Address :
3206 N DINUBA BOULEVARD
VISALIA CA 93291
TULARE 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: THOUSAND OAKS DENTAL GROUP, LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 5709 Primary Status: Cancelled
Address :
1760 E AVENIDA DE LOS ARBOLES
THOUSAND OAKS CA 91362
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: TRACY SMILES MODERN DENTISTRY, DENTAL GROUP OF ENTABI DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 10731 Primary Status: Cancelled
Address :
2600 S. TRACY BLVD SUITE 170
TRACY CA 95376
SAN JOAQUIN 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: NUT TREE SMILES DENTISTRY AND ORTHODONTICS, DENTAL GROUP OF MANTE
License/Registration Type: Fictitious Name Permit
License Number: 10733 Primary Status: Cancelled
Address :
110 NUT TREE PARKWAY
VACAVILLE CA 95687
SOLANO 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: MY KIDS DENTIST AND ORTHODONTICS, DENTAL OFFICE OF ENTABI DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 10754 Primary Status: Current - Active
Address :
2600 S. TRACY BLVD SUITE 160
TRACY CA 95376
SAN JOAQUIN 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: MAIN STREET DENTAL GROUP, DEAN LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13214 Primary Status: Cancelled
Address :
4360-C E. MAIN STREET
VENTURA CA 93303
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: THOUSAND OAKS DENTAL GROUP, LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13215 Primary Status: Cancelled
Address :
1760 E. AVENIDA DE LOS ARBOLES, STE. A
THOUSAND OAKS CA 91362
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: CAMARILLO DENTAL GROUP GISELLE MAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13145 Primary Status: Current - Active
Address :
2380 E. LAS POSAS ROAD, SUITE A
CAMARILLO CA 93010
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
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: SIERRA COMMONS DENTAL GROUP, EASLEY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12168 Primary Status: Current - Active
Address :
755 W. RANCHO VISTA BLVD
PALMDALE CA 93551
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: PLEASANT HILL SMILES DENTAL GROUP, EVA BENDER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 10601 Primary Status: Cancelled
Address :
2380 MONUMENT BOULEVARD, STE. F
PLEASANT HILL CA 94523
CONTRA COSTA 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: FALLON DENTAL GROUP, KARLEEN BOPARAI AND AMARDEEP GILL DENTAL COR
License/Registration Type: Fictitious Name Permit
License Number: 12357 Primary Status: Expired
Address :
3746 FALLON ROAD
DUBLIN CA 94568
ALAMEDA 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: FALLON DENTAL GROUP, KARLEEN BOPARAI AND AMARDEEP GILL DENTAL COR
License/Registration Type: Fictitious Name Permit
License Number: 11277 Primary Status: Cancelled
Address :
3746 FALLON ROAD
DUBLIN CA 94568
ALAMEDA 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: VACAVILLE DENTISTRY DENTAL GROUP, USHA MANTENA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13900 Primary Status: Expired
Address :
671 ELMIRA ROAD, SUITE 130
VACAVILLE CA 95687
SOLANO 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: ARDEN MODERN DENTISTRY DENTAL GROUP, VICUNA AND GILL DENTAL CORPO
License/Registration Type: Fictitious Name Permit
License Number: 12148 Primary Status: Cancelled
Address :
2654 Marconi Ave Ste 100
SACRAMENTO CA 95821-5106
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: PROMENADE DENTAL GROUP AND ORTHODONTICS, GILL PROFESSIONAL DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 11412 Primary Status: Current - Active
Address :
3635 N FREEWAY BLVD
SUITE 110
SACRAMENTO CA 95834
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: EAST OAKS DENTAL GROUP, MCDONOUGH AND HUSS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 10750 Primary Status: Cancelled
Address :
593 N. MOORPARK ROAD SUITE B
THOUSAND OAKS CA 91360
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: CAMARILLO DENTAL GROUP, LAMBRIDIS AND MAR DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 7634 Primary Status: Cancelled
Address :
2380 E. LAS POSAS ROAD
STE. A
CAMARILLO CA 93010
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: CAMARILLO DENTAL GROUP, DENTAL CORPORATION OF
License/Registration Type: Fictitious Name Permit
License Number: 5710 Primary Status: Cancelled
Address :
2380 E LAS POSAS RD, STE A
CAMARILLO CA 93010
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: PETALUMA MODERN DENTISTRY DENTAL GROUP, SZUTZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12076 Primary Status: Current - Active
Address :
401 KENILWORTH DRIVE, SUITE 960
PETALUMA CA 94952
SONOMA 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: CLOVIS CROSSING DENTAL GROUP - MY KID'S DENTIST, C.G. GHAZAL AND
License/Registration Type: Fictitious Name Permit
License Number: 11276 Primary Status: Cancelled
Address :
1095 HERNDON AVENUE
SUITE 102
CLOVIS CA 93612
FRESNO 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: DAVIS SMILES DENTISTRY DENTAL GROUP SERGIO VICUNA DENTAL CORPORAT
License/Registration Type: Fictitious Name Permit
License Number: 10985 Primary Status: Cancelled
Address :
4515 FERMI PLACE
SUITE 106
DAVIS CA 95618
YOLO 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: MY KID'S DENTIST DENTAL GROUP, PANGILINAN AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13610 Primary Status: Expired
Address :
3332 N TEXAS ST STE 5D
FAIRFIELD CA 94533
SOLANO 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: THOUSAND OAKS DENTAL GROUP LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13336 Primary Status: Cancelled
Address :
1760 E AVENIDA DE LOS ARBOLES SUITE A
THOUSAND OAKS CA 91362
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: EAST OAKS DENTAL GROUP, AIKEN AND HUSS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16478 Primary Status: Current - Active
Address :
593 N MOORPARK RD STE B
THOUSAND OAKS CA 91360
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: LANCASTER MODERN DENTISTRY DENTAL GROUP JOSEPH HANNA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12609 Primary Status: Cancelled
Address :
43531 10TH STREET WEST
LANCASTER CA 93534
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: LIVERMORE SMILES DENTISTRY AND ORTHODONTICS DENTAL GROUP - MY KID
License/Registration Type: Fictitious Name Permit
License Number: 11455 Primary Status: Cancelled
Address :
4375 1ST STREET
LIVERMORE CA 94551
ALAMEDA 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: CASTRO VALLEY SMILES DENTISTRY DENTAL GROUP, CAROLYN GHAZAL AND D
License/Registration Type: Fictitious Name Permit
License Number: 10800 Primary Status: Cancelled
Address :
3779 E CASTRO VALLEY BLVD
CASTRO VALLEY CA 94552
ALAMEDA 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: ALAMO SMILES DENTAL GROUP, BROWN AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 11037 Primary Status: Cancelled
Address :
3000 DANVILLE BLVD
SUITE A
ALAMO CA 94507
CONTRA COSTA 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: PETALUMA MODERN DENTISTRY DENTAL GROUP, SZUTZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 11173 Primary Status: Cancelled
Address :
401 KENILWORTH DRIVE
SUITE 960
PETALUMA CA 94952
SONOMA 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: CASTRO VALLEY SMILES DENTISTRY DENTAL GROUP, VICUNA AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13466 Primary Status: Current - Active
Address :
3779 E CASTRO VALLEY BLVD
CASTRO VALLEY CA 94552
ALAMEDA 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: GRANITE BAY SMILES DENTISTRY DENTAL GROUP KAHBODY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13264 Primary Status: Cancelled
Address :
8630 SIERRA COLLEGE BOULEVARD, STE 110
ROSEVILLE CA 95661
PLACER 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: ARDEN MODERN DENTISTRY DENTAL GROUP AMARDEEP GILL AND DEAN LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13262 Primary Status: Cancelled
Address :
2654 MARCONI AVENUE, SUITE 100
SACRAMENTO CA 95821
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: CHAMPLAIN DENTISTRY DENTAL GROUP MCMURRAY AND GILL DENTAL CORPORA
License/Registration Type: Fictitious Name Permit
License Number: 12146 Primary Status: Cancelled
Address :
1193 E Champlain Dr
FRESNO CA 93720-5010
FRESNO 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: SOUTH RIVER DENTAL GROUP AND ORTHODONTICS, BAUTISTA AND GILL DENT
License/Registration Type: Fictitious Name Permit
License Number: 10735 Primary Status: Cancelled
Address :
2455 JEFFERSON BLVD SUITE 130
WEST SACRAMENTO CA 95691
YOLO 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: MISSION OAKS DENTAL GROUP, WORKINGS AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13852 Primary Status: Current - Active
Address :
4900 VERDUGO WAY STE A
CAMARILLO CA 93012
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: PAVILIONS DENTAL GROUP, BRYANT VEST DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 11456 Primary Status: Current - Active
Address :
1259 PLEASANT GROVE BLVD STE 100
ROSEVILLE CA 95747
PLACER 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: ROCKLIN MODERN DENTISTRY DENTAL GROUP, RICKY V. TRAN DENTAL CORPO
License/Registration Type: Fictitious Name Permit
License Number: 11826 Primary Status: Current - Active
Address :
5182 COMMONS DRIVE
SUITE 101
ROCKLIN CA 95677
PLACER 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: ROHNERT PARK SMILES DENTISTRY DENTAL GROUP, PATEL AND GILL DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 12017 Primary Status: Current - Active
Address :
6315 COMMERCE BLVD
ROHNERT PARK CA 94928
SONOMA 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: NOVATO SMILES DENTISTRY DENTAL GROUP, C.G. GHAZAL DENTAL CORPORAT
License/Registration Type: Fictitious Name Permit
License Number: 11673 Primary Status: Cancelled
Address :
948 DIABLO AVE
NOVATO CA 94947
MARIN 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: PARK PLACE DENTAL GROUP AND ORTHODONTICS, HUSS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 10669 Primary Status: Cancelled
Address :
501 S. REINO ROAD SUITE G
NEWBURY PARK CA 91320
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: THOUSAND OAKS DENTAL GROUP AND ORTHODONTICS, LAMBRIDIS DENTAL COR
License/Registration Type: Fictitious Name Permit
License Number: 9959 Primary Status: Cancelled
Address :
1760 E. AVENIDA DE LOS ARBOLES, STE. A
THOUSAND OAKS CA 91362
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: GREEN VALLEY DENTAL GROUP KNIGHT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13241 Primary Status: Current - Active
Address :
2205 FRANCISCO DRIVE, SUITE 150
EL DORADO HILLS CA 95762
EL DORADO 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: FAIRFIELD DENTISTS DENTAL GROUP, PANGILINAN AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13608 Primary Status: Expired
Address :
3332 N TEXAS ST STE 5C
FAIRFIELD CA 94533
SOLANO 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: VISALIA MODERN DENTISTRY DENTAL GROUP CAROLYN G. GHAZAL AND DEAN
License/Registration Type: Fictitious Name Permit
License Number: 12155 Primary Status: Cancelled
Address :
3206 N Dinuba Blvd Ste F
VISALIA CA 93291-8730
TULARE 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: EAST OAKS DENTAL GROUP, LAMBRIDIS PROFESSIONAL DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 5817 Primary Status: Cancelled
Address :
593 MOORPARK BLVD, STE B
THOUSAND OAKS CA 91360
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: STOCKDALE SMILES DENTISTRY AND ORTHODONTICS DENTAL GROUP PHI HUYN
License/Registration Type: Fictitious Name Permit
License Number: 10597 Primary Status: Expired
Address :
11120 STOCKDALE HIGHWAY, STE. 103
BAKERSFIELD CA 93311
KERN 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: PINOLE MODERN DENTISTRY DENTAL GROUP PRIYA PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12718 Primary Status: Cancelled
Address :
1208 FITZGERALD DRIVE
PINOLE CA 94564
CONTRA COSTA 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: THOUSAND OAKS DENTAL GROUP LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15450 Primary Status: Current - Active
Address :
1760 E. AVENIDA DE LOS ARBOLES., SUITE A
THOUSAND OAKS CA 91362
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: MOORPARK DENTAL GROUP JEDEDIAH HUS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16456 Primary Status: Current - Active
Address :
806 NEW LOS ANGELES AVENUE, SUITE B
MOORPARK CA 93021
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: ALAMEDA LANDING DENTISTRY, DENTAL GROUP OF POLAN DENTAL CORPORATI
License/Registration Type: Fictitious Name Permit
License Number: 12149 Primary Status: Cancelled
Address :
2660 5th St
SUITE 30
ALAMEDA CA 94501-6577
ALAMEDA 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: MISSOURI FLAT DENTAL GROUP, BROWN AND GHAZAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 11776 Primary Status: Cancelled
Address :
3967 MISSOURI FLAT ROAD
SUITE 120
PLACERVILLE CA 95667
EL DORADO 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: PARK WEST DENTAL GROUP AND ORTHODONTICS - MY KIDS DENTIST, GHAZAL
License/Registration Type: Fictitious Name Permit
License Number: 10730 Primary Status: Cancelled
Address :
10928 TRINITY PARKWAY
STOCKTON CA 95219
SAN JOAQUIN 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: TURLOCK SMILES DENTISTRY AND ORTHODONTICS DENTAL GROUP CAROLYN GH
License/Registration Type: Fictitious Name Permit
License Number: 11011 Primary Status: Expired
Address :
2808 W MONTE VISTA AVENUE
TURLOCK CA 95380
STANISLAUS 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: MODESTO MODERN DENTISTRY DENTAL GROUP MICHAEL LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12717 Primary Status: Cancelled
Address :
2103 MCHENRY AVENUE, SUITE C
MODESTO CA 95350
STANISLAUS 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 SOUTH PASADENA DENTAL GROUP MARTIN GALSTYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13142 Primary Status: Cancelled
Address :
813 FAIR OAKS AVENUE
SOUTH PASADENA CA 91030
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: FOLSOM HILLS DENTISTRY DENTAL GROUP WATANABE AND GHAZAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13372 Primary Status: Cancelled
Address :
2465 IRON POINT ROAD, STE. 120
FOLSOM CA 95630
SACRAMENTO COUNTY
