
Dental Board of California
Licensing details for: 909
Name: JOHNSON, REUBEN LEE
License Type: Conscious Sedation
Primary Status: Cancelled
Previous Names: JOHNSON, REUREN LEE
Address of Record
5127 PARKGLEN AVE
LOS ANGELES CA 90043
LOS ANGELES county
Map
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: JOHNSON, REUBEN LEE
License/Registration Type: Dentist License
License Number: 63515 Primary Status: Current - Active
Address :
17875 Von Karman Ave.
Suite 440
IRVINE CA 92614