Dental Board of California
Licensing details for: 863
Name: LORENZ, BROCK JASON
License Type: Conscious Sedation
Primary Status: Cancelled
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: LORENZ, BROCK JASON
License/Registration Type: Dentist License
License Number: 61270 Primary Status: Current - Active
Address :
6622 Cedarwood Dr
HUNTINGTON BEACH CA 92648-6658
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SHERMAN OAKS SMILES DENTAL OFFICE OF DRS. KIMIA, LORENZ, AND POULDAR
License/Registration Type: Fictitious Name Permit
License Number: 17530 Primary Status: Expired
Address :
14912 BURBANK BLVD
SHERMAN OAKS CA 91411
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GOLDEN COAST DENTAL CARE: DENTAL PRACTICE OF BROCK LORENZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17556 Primary Status: Current - Active
Address :
5963 E. SPRING STREET
LONG BEACH CA 90808
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ENCINO FAMILY DENTAL GROUP, OFFICE OF KIMIA & LORENZ DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 13118 Primary Status: Expired
Address :
14912 Burbank Blvd
SHERMAN OAKS CA 91411-3609
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SPRING DENTAL GROUP: BROCK LORENZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17553 Primary Status: Expired
Address :
5963 E. SPRING STREET
LONG BEACH CA 90808
LOS ANGELES COUNTY
