Dental Board of California
Licensing details for: 60538
Name: JACKSON, JONATHAN BRIAN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
40484 Murrieta Hot Springs Rd
Ste 102
MURRIETA CA 92563-6438
RIVERSIDE county
Map
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: JACKSON AND LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79128 Primary Status: Current - Active
Address :
40484 Murrieta Hot Springs Rd
SUITE 102
MURRIETA CA 92563-6438
RIVERSIDE 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: PLAZA DENTAL GROUP, JACKSON AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13117 Primary Status: Current - Active
Address :
40484 Murrieta Hot Springs Rd
SUITE 102
MURRIETA CA 92563-6438
RIVERSIDE COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: Anwar, Nardeen Ashraf
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 819 Primary Status: Delinquent
Address Not Disclosed
