Dental Board of California
Licensing details for: 54184
Name: PANA, MARC R
License Type: Dentist
Primary Status: Current - Active
Previous Names: PANAHPOUR, MOHAMMAD R
Address of Record
25242 Derbyhill Dr
LAGUNA HILLS CA 92653-5894
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SOUTH COAST ORTHODONTICS DENTAL GROUP, MARC PANA PROFESSIONAL DEN
License/Registration Type: Fictitious Name Permit
License Number: 9012 Primary Status: Cancelled
Address :
26731 ALISO CREEK ROAD #210
ALISO VIEJO CA 92656
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SOUTH COAST ORTHODONTICS, DENTAL OFFICE, MARC PANA PROF. DENTAL C
License/Registration Type: Fictitious Name Permit
License Number: 7330 Primary Status: Cancelled
Address :
6 HUGHES
STE. 100
IRVINE CA 92618
ORANGE 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 COAST ORTHODONTICS, DENTAL OFFICE, MARC PANA PROF. DENTAL C
License/Registration Type: Fictitious Name Permit
License Number: 7330 Primary Status: Cancelled
Address :
6 HUGHES
STE. 100
IRVINE CA 92618
ORANGE 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 COAST ORTHODONTICS DENTAL GROUP, MARC PANA PROFESSIONAL DEN
License/Registration Type: Fictitious Name Permit
License Number: 9012 Primary Status: Cancelled
Address :
26731 ALISO CREEK ROAD #210
ALISO VIEJO CA 92656
ORANGE COUNTY
