Dental Board of California
Licensing details for: 56129
Name: POYOUROW, SOLOMON LOUIS RIKMAR
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: POYOUROW, SOLOMON
Address of Record
1441 Avocado Ave Ste 406
NEWPORT BEACH CA 92660-7705
ORANGE county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: POYOUROW, SOLOMON LOUIS RIKMAR
License/Registration Type: Conscious Sedation Permit
License Number: 723 Primary Status: Cancelled
Address :
4582 KATELLA AVE
LOS ALAMITOS CA 90720
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALAMITOS ORAL SURGERY, DENTAL OFFICE OF DRS. POYOUROW, CHANDRA, A
License/Registration Type: Fictitious Name Permit
License Number: 11127 Primary Status: Expired
Address :
4582 KATELLA AVENUE
LOS ALAMITOS CA 90720
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FASHION ISLAND ORAL SURGERY AND IMPLANTS DENTAL PRACTICE OF POYOUROW PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16519 Primary Status: Current - Active
Address :
1441 AVOCADO AVE #406
NEWPORT BEACH CA 92660
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: ALAMITOS ORAL SURGERY, DENTAL OFFICE OF DRS. POYOUROW, CHANDRA, A
License/Registration Type: Fictitious Name Permit
License Number: 11127 Primary Status: Expired
Address :
4582 KATELLA AVENUE
LOS ALAMITOS CA 90720
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: FASHION ISLAND ORAL SURGERY AND IMPLANTS DENTAL PRACTICE OF POYOUROW PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16519 Primary Status: Current - Active
Address :
1441 AVOCADO AVE #406
NEWPORT BEACH CA 92660
ORANGE 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: POYOUROW, SOLOMON LOUIS RIKMAR
License/Registration Type: General Anesthesia Permit
License Number: 1660 Primary Status: Current - Active
Address :
1441 Avocado Ave SUITE 406
NEWPORT BEACH CA 92660
ORANGE COUNTY
