Dental Board of California
Licensing details for: 63931
Name: ORIGEL, MARISA GRACE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1828 E Cesar E Chavez Ave
Suite 4100
LOS ANGELES CA 90033-2400
LOS ANGELES county
Map
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: ORIGEL, MARISA GRACE
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3539 Primary Status: Cancelled
Address :
1811 S Del Mar Ave
Unit 101
SAN GABRIEL CA 91776-4154
LOS ANGELES COUNTY
