Dental Board of California
Licensing details for: 57470
Name: FOWLER, BRANDON BOEKAMP
License Type: Dentist
Primary Status: Expired
Method of Application: Licensure by WREB
Address of Record
1718 S Millenium Way
MERIDIAN ID 83642-1511
ADA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FOWLER ORTHODONTICS, DENTAL OFFICE OF DR. BRANDON FOWLER
License/Registration Type: Fictitious Name Permit
License Number: 10806 Primary Status: Cancelled
Address :
29809 SANTA MARGARITA PARKWAY SUITE 200
RANCHO SANTA MARGARI CA 92688
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: FOWLER ORTHODONTICS, DENTAL OFFICE OF DR. BRANDON FOWLER
License/Registration Type: Fictitious Name Permit
License Number: 10806 Primary Status: Cancelled
Address :
29809 SANTA MARGARITA PARKWAY SUITE 200
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY
