Dental Board of California
Licensing details for: 60485
Name: GARDNER, MICHAEL DEAN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: GARDNER, MICHAEL DGAN ❖ GARDNER, MICHAEL
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: GARDNER DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79393 Primary Status: Current - Active
Address :
211 N EUCLID AVE
ONTARIO CA 91762
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SANTA ANA SMILES, DENTAL PRACTICE OF GARDNER & GARDNER DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 10871 Primary Status: Current - Active
Address :
1617 E. 1ST STREET
SUITE A
SANTA ANA CA 92701
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EUCLID FAMILY DENTISTRY, A DENTAL PRACTICE OF GARDNER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13566 Primary Status: Current - Active
Address :
211 N Euclid Ave
211 N Euclid Ave
ONTARIO CA 91762-3512
SAN BERNARDINO 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: SANTA ANA SMILES, DENTAL PRACTICE OF GARDNER & GARDNER DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 10871 Primary Status: Current - Active
Address :
1617 E. 1ST STREET
SUITE A
SANTA ANA CA 92701
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: EUCLID FAMILY DENTISTRY, A DENTAL PRACTICE OF GARDNER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13566 Primary Status: Current - Active
Address :
211 N Euclid Ave
211 N Euclid Ave
ONTARIO CA 91762-3512
SAN BERNARDINO COUNTY
