Dental Board of California
Licensing details for: 60364
Name: CASTELLANOS, MARIO JAVIER JR
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: CASTELLANOS, JR, MARIO JAVIER ❖ CASTELLANOS, MARIO JAVIER
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: CASTELLANOS DDS, INC
License/Registration Type: Additional Office Permit
License Number: 80563 Primary Status: Current - Active
Address :
9725 SIERRA AVE
FONTANA CA 92335
SAN BERNARDINO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: ROBLES DDS & CASTELLANOS DDS INC
License/Registration Type: Additional Office Permit
License Number: 79488 Primary Status: Cancelled
Address :
831 E LAMBERT RD STE C
LA HABRA CA 90631
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SUMMIT DENTAL GROUP, ROBLES DDS & CASTELLANOS DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 13823 Primary Status: Cancelled
Address :
831 E LAMBERT RD STE C
LA HABRA CA 90631
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: SUMMIT DENTAL GROUP, ROBLES DDS & CASTELLANOS DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 13823 Primary Status: Cancelled
Address :
831 E LAMBERT RD STE C
LA HABRA CA 90631
ORANGE 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: CASTELLANOS, MARIO JAVIER JR
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2672 Primary Status: Cancelled
Address :
2063 E Florida Ave
HEMET CA 92544-4730
RIVERSIDE COUNTY
