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: ROGERS AND REAGAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80171 Primary Status: Current - Active
Address :
467 COLLEGE BLVD., SUITE 2
OCEANSIDE CA 92057
SAN DIEGO 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: COLLEGE DENTAL GROUP, ROGERS AND REAGAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15158 Primary Status: Current - Active
Address :
467 COLLEGE BLVD., SUITE 2
OCEANSIDE CA 92057
SAN DIEGO 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: COLLEGE DENTAL GROUP AND ORTHODONTICS, ROGERS AND REAGAN DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 10629 Primary Status: Cancelled
Address :
467 COLLEGE BOULEVARD, STE. 2
OCEANSIDE CA 92057
SAN DIEGO COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: ELLNER, LUAHNA HARPER
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 334 Primary Status: Current - Active
Address Not Disclosed
