Dental Board of California

Licensing details for: 25

Name: HUMMELDORF, KURT GERARD

License Type: Elective Facial Cosmetic Surgery

Primary Status: Current - Active

Qualification: Category II Unlimited - Soft Tissue Primary Status Definition

Expert Credentials: Category I Unlimited - Osteocartilaginous Primary Status Definition

Address of Record

2655 CAMINO DEL RIO NORTH
SAN DIEGO CA 92108
SAN DIEGO county
Map

Active Status Location

2655 Camino Del Rio N
#140
SAN DIEGO CA 92108-1633
SAN DIEGO county
Map

Issuance Date

May 20, 2013

Expiration Date

March 31, 2027

Current Date / Time

June 6, 2025
1:54:39 AM

License/Registration Role: Elective Facial Cosmetic Surgery Permit

Related Party Role: Must hold an active Dental License

Name: HUMMELDORF, KURT GERARD

License/Registration Type: Dentist License

License Number: 53339 Primary Status: Current - Active

Address :
1315 Ynez Place
1315 Ynez Place
CORONADO CA 92118