Dental Board of California
Licensing details for: 60671
Name: PRUSKY, SEAN DAVID
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
Address of Record
500 S Sepulveda Blvd
Suite 300
MANHATTAN BEACH CA 90266
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SHORELINE ORTHODONTICS DENTAL PRACTICE OF SEAN PRUSKY D.D.S., INC
License/Registration Type: Fictitious Name Permit
License Number: 18302 Primary Status: Current - Active
Address :
500 S SEPULVEDA BLVD., SUITE 300
MANHATTAN BEACH CA 90266
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: SHORELINE ORTHODONTICS DENTAL PRACTICE OF SEAN PRUSKY D.D.S., INC
License/Registration Type: Fictitious Name Permit
License Number: 18302 Primary Status: Current - Active
Address :
500 S SEPULVEDA BLVD., SUITE 300
MANHATTAN BEACH CA 90266
LOS ANGELES COUNTY
