Dental Board of California
Licensing details for: 61647
Name: PRIYAWAT, RUPPORN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
264 Desert Bloom
IRVINE CA 92618-8872
ORANGE 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: PRIYAWAT AND KIM DENTAL SERVICES
License/Registration Type: Additional Office Permit
License Number: 81023 Primary Status: Expired
Address :
444 HARBOR BLVD UNIT 240
FULLERTON CA 92832
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OMNIA DENTAL CARE DENTAL OFFICE OF PRIYAWAT AND KIM
License/Registration Type: Fictitious Name Permit
License Number: 16565 Primary Status: Current - Active
Address :
444 N. HARBOR BLVD. STE #240
FULLERTON CA 92832
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OMNIA DENTAL CARE DENTAL OFFICE OF DRS. PRIYAWAT AND KIM
License/Registration Type: Fictitious Name Permit
License Number: 14688 Primary Status: Current - Active
Address :
15911 POMONA RINCON ROAD, UNIT 120
CHINO HILLS CA 91709
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: OMNIA DENTAL CARE DENTAL OFFICE OF PRIYAWAT AND KIM
License/Registration Type: Fictitious Name Permit
License Number: 16565 Primary Status: Current - Active
Address :
444 N. HARBOR BLVD. STE #240
FULLERTON CA 92832
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: OMNIA DENTAL CARE DENTAL OFFICE OF DRS. PRIYAWAT AND KIM
License/Registration Type: Fictitious Name Permit
License Number: 14688 Primary Status: Current - Active
Address :
15911 POMONA RINCON ROAD, UNIT 120
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
