
Dental Board of California
Licensing details for: 875
Name: KOHN, MARKELL W
License Type: Dentist General Anesthesia
Primary Status: Cancelled
Address of Record
14299 MANGO DRIVE
DEL MAR CA 92014
SAN DIEGO county
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License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE SAN DIEGO CENTER FOR ORAL & MAXILLOFACIAL SURGERY
License/Registration Type: Fictitious Name Permit
License Number: 3500 Primary Status: Cancelled
Address :
752 MEDICAL CENTER CT, STE 205
CHULA VISTA CA 91911
SAN DIEGO COUNTY
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: KOHN, MARKELL W
License/Registration Type: Dentist License
License Number: 17302 Primary Status: Cancelled
Address :
14299 MANGO DRIVE
DEL MAR CA 92014
SAN DIEGO COUNTY