Dental Board of California
Licensing details for: 58944
Name: FAELDAN-SUAREZ, MARISSA VALMONTE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: FAELDAN, MARISSA VALMONTE ❖ FAELDAN-SUAREZ, MARISSA
Address of Record
5432 Sepulveda Blvd
B
B
CULVER CITY CA 90230-5512
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: COCO LANE ORTHODONTICS DENTAL GROUP OF MARISSA FAELDAN-SUAREZ, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18840 Primary Status: Current - Active
Address :
5432 SEPULVEDA BLVD. SUITE B
CULVER CITY CA 90230
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE STREET PEDIATRIC DENTISTRY, DENTAL GROUP OF MARISSA FAELDAN
License/Registration Type: Fictitious Name Permit
License Number: 10573 Primary Status: Current - Active
Address :
5432 SEPULVEDA BOULEVARD, STE. B
CULVER CITY CA 90230
LOS ANGELES 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: SMILE STREET PEDIATRIC DENTISTRY, DENTAL GROUP OF MARISSA FAELDAN
License/Registration Type: Fictitious Name Permit
License Number: 10573 Primary Status: Current - Active
Address :
5432 SEPULVEDA BOULEVARD, STE. B
CULVER CITY CA 90230
LOS ANGELES 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: COCO LANE ORTHODONTICS DENTAL GROUP OF MARISSA FAELDAN-SUAREZ, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18840 Primary Status: Current - Active
Address :
5432 SEPULVEDA BLVD. SUITE B
CULVER CITY CA 90230
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: FAELDAN-SUAREZ, MARISSA VALMONTE
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2635 Primary Status: Cancelled
Address :
5432 Sepulveda Blvd
B
B
CULVER CITY CA 90230-5512
LOS ANGELES COUNTY
PMS 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: Pediatric Minimal Sedation Permit
Name: FAELDAN-SUAREZ, MARISSA VALMONTE
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 353 Primary Status: Current - Active
Address :
5432 Sepulveda Blvd
Suite B
CULVER CITY CA 90230-5512
LOS ANGELES COUNTY
