Dental Board of California
Licensing details for: 61197
Name: ASSAF, GINA DEANA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Secondary Status: Public Reprimand
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: ASSAF, GINA DEANA
License/Registration Type: Conscious Sedation Permit
License Number: 1114 Primary Status: Cancelled
Address :
200 E Imperial Hwy
BREA CA 92821-4925
MS 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: Moderate Sedation Permit
Name: ASSAF, GINA DEANA
License/Registration Type: Moderate Sedation Permit
License Number: 533 Primary Status: Current - Active
Address :
12791 Newport Ave
#100
TUSTIN CA 92780-2751
ORANGE COUNTY
