License Relationships
FCS to DDS
License/Registration Role: Must hold an active Dental License
Related Party Role: Elective Facial Cosmetic Surgery Permit
Name: HUMMELDORF, KURT GERARD
License/Registration Type: Elective Facial Cosmetic Surgery Permit
License Number: 25 Primary Status: Current - Active
Address :
2655 CAMINO DEL RIO NORTH
SAN DIEGO CA 92108
SAN DIEGO COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: HUMMELDORF, KURT GERARD
License/Registration Type: General Anesthesia Permit
License Number: 1343 Primary Status: Current - Active
Address :
1315 Ynez Place
CORONADO CA 92118
