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Licensing details for: 710

Name: DARMSTADT, STEVEN DAVID

License Type: Dentist General Anesthesia

Primary Status: Cancelled

Address of Record

1801 W. ROMNEYA DRIVE
#408
ANAHEIM CA 92801
ORANGE county
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Issuance Date

July 1, 1984

Expiration Date

April 30, 2016

Current Date / Time

June 6, 2025
11:49:16 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GATEWAY DENTAL GROUP OF RIVERSIDE, BRYAN K. WATANABE, A PROFESSIO

License/Registration Type: Fictitious Name Permit

License Number: 7804 Primary Status: Cancelled

Address :
10286 INDIANA AVENUE
RIVERSIDE CA 92503
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAKE FOREST DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2143 Primary Status: Cancelled

Address :
MEHRDOKHT MEHRAVARZI, DDS,INC.
23591 EL TORO ROAD
LAKE FOREST CA 92630
ORANGE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GATEWAY DENTAL GROUP OF RIVERSIDE, BRYAN K WATANABE,

License/Registration Type: Fictitious Name Permit

License Number: 5900 Primary Status: Cancelled

Address :
10286 INDIANA AVE
RIVERSIDE CA 92503
RIVERSIDE COUNTY

Map

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: DARMSTADT, STEVEN DAVID

License/Registration Type: Dentist License

License Number: 28919 Primary Status: Current - Active

Address :
1751 W ROMNEYA DR STE C
ANAHEIM CA 92801
ORANGE COUNTY

Map

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