Dental Board of California
Licensing details for: 56932
Name: TASSARA, GIANCARLO GIUSEPPE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1111 W Town and Country Rd
Unit 46
ORANGE CA 92868-4615
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILELINE DENTAL & ORTHODONTICS DENTAL GROUP OF GIANCARLO TASSARA, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 14995 Primary Status: Current - Active
Address :
1111 W. TOWN AND COUNTRY RD, UNIT 46 & 47
ORANGE CA 92868
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MUIRLANDS DENTAL OFFICE CARLOS E VERLARDE DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 12197 Primary Status: Cancelled
Address :
23361 EL TORO ROAD, #105
LAKE FOREST CA 92630
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: SMILELINE DENTAL & ORTHODONTICS DENTAL GROUP OF GIANCARLO TASSARA, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 14995 Primary Status: Current - Active
Address :
1111 W. TOWN AND COUNTRY RD, UNIT 46 & 47
ORANGE CA 92868
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: MUIRLANDS DENTAL OFFICE CARLOS E VERLARDE DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 12197 Primary Status: Cancelled
Address :
23361 EL TORO ROAD, #105
LAKE FOREST CA 92630
ORANGE COUNTY
