Dental Board of California
Licensing details for: 62476
Name: ORTEGA, MICHAEL ERIC
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
41819 MONTALLEGRO STREET
LANCASTER CA 93536
LOS ANGELES 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: MICHAEL ORTEGA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80881 Primary Status: Current - Active
Address :
43531 10TH STREET W.
LANCASTER CA 93534
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: LANCASTER MODERN DENTISTRY DENTAL GROUP MICHAEL ORTEGA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16472 Primary Status: Current - Active
Address :
43531 10TH STREET W.
LANCASTER CA 93534
LOS ANGELES COUNTY
