Dental Board of California
Licensing details for: 64596
Name: LATSHIKYAN, ELMIRA AMY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: LATSHIKYAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79591 Primary Status: Current - Active
Address :
8162 E SANTA ANA CANYON RD STE 104
ANAHEIM CA 92808
ORANGE COUNTY
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: ELMIRA LATSHIKYAN, DDS
License/Registration Type: Additional Office Permit
License Number: 82206 Primary Status: Current - Active
Address :
13327 FLORENCE AVENUE
SANTA FE SPRINGS CA 90670
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: DENTISTS OF ANAHEIM HILLS DENTAL GROUP, LATSHIKYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14062 Primary Status: Current - Active
Address :
8162 E SANTA ANA CANYON RD STE 104
ANAHEIM CA 92808
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: ORANGE MODERN DENTISTRY DENTAL GROUP, ELMIRA LATSHIKYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19111 Primary Status: Current - Active
Address :
130 S. MAIN STREET, SUITE A
ORANGE CA 92868
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: DENTISTS OF SAN JUAN CAPISTRANO DENTAL GROUP, GHIBU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18731 Primary Status: Current - Active
Address :
32391 CAMINO CAPISTRANO #B
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY



