Dental Board of California
Licensing details for: 61160
Name: MARDIROSIAN, MARTIN HAROOTUNE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
REDONDO ORAL SURGERY
1706 SOUTH ELENA AVE, SUITE A
REDONDO BEACH CA 90277
LOS ANGELES county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: MARDIROSIAN, MARTIN HAROOTUNE
License/Registration Type: Conscious Sedation Permit
License Number: 910 Primary Status: Cancelled
Address :
Ucla School Of Dentistry
10833 Le Conte Ave.
A0-156 CHS
LOS ANGELES CA 90095-0001
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: WESTERNOFF, DMD, MD, & MARDIROSIAN, DDS, MD, GP-W DENTAL GROUP DBA: ORAL SURGERY PARTNERS - WESTCHESTER
License/Registration Type: Fictitious Name Permit
License Number: 17038 Primary Status: Expired
Address :
8540 S. SEPULVEDA BLVD SUITE 1206
LOS ANGELES CA 90045
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: ORAL SURGERY PARTNERS; DENTAL PRACTICE OF TRENT WESTERNOFF MDM MD INC AND MARTIN MARDIROSIAN DDS MD APC
License/Registration Type: Fictitious Name Permit
License Number: 15853 Primary Status: Expired
Address :
604 NORTH SEPULVEDA
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: REDONDO ORAL SURGERY; DENTAL PRACTICE OF TRENT WESTERNOFF DMD MD INC AND MARTIN MARDIROSIAN DDS MD APC
License/Registration Type: Fictitious Name Permit
License Number: 14824 Primary Status: Cancelled
Address :
1706 S ELENA AVE STE A
REDONDO BEACH CA 90277
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: ORAL SURGERY PARTNERS; DENTAL PRACTICE OF TRENT WESTERNOFF MDM MD INC AND MARTIN MARDIROSIAN DDS MD APC
License/Registration Type: Fictitious Name Permit
License Number: 15838 Primary Status: Expired
Address :
1706 S. ELENA AVENUE SUITE A
REDONDO BEACH CA 90277
LOS ANGELES COUNTY
GA 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: General Anesthesia Permit
Name: MARDIROSIAN, MARTIN HAROOTUNE
License/Registration Type: General Anesthesia Permit
License Number: 1844 Primary Status: Current - Active
Address :
1706 S ELENA AVE
REDONDO BEACH CA 90277
LOS ANGELES COUNTY
