Dental Board of California
Licensing details for: 55501
Name: SCAMURRA, MICHAEL JOHN
License Type: Dentist
Primary Status: Current - Active
Previous Names: SCAMURRA, MICHAEL J
License Relationships
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: HUNTINGTON BEACH FAMILY DENTAL, OFFICE OF KIM T. PHAM, D.M.D. & M
License/Registration Type: Fictitious Name Permit
License Number: 11151 Primary Status: Cancelled
Address :
18700 MAIN STREET
SUITE 207
HUNTINGTON BEACH CA 92648
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: PERRIS FAMILY DENTISTRY, DR. HAREESH'S DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 1151 Primary Status: Current - Active
Address :
391 WILKERSON AVENUE, STE. A-B
PERRIS CA 92570
RIVERSIDE 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: AMORE FAMILY DENTAL DENTAL GROUP OF KIM T PHAM & MICHAEL J SCAMURRA DMD DENTAL CORPORATION INC
License/Registration Type: Fictitious Name Permit
License Number: 13014 Primary Status: Cancelled
Address :
2690 PACIFIC AVENUE, SUITE 360
LONG BEACH CA 90806
LOS ANGELES COUNTY
