Dental Board of California
Licensing details for: 2075
Name: JEFFERSON, WALTER
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Adult
Address of Record
16475 SIERRA LAKES PKWY
FONTANA CA 92336
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HASTINGS RANCH DENTAL GROUP SOLAIMAN TEHRANI AND GALSTYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15020 Primary Status: Cancelled
Address :
255 N. ROSEMEAD BLVD.
PASADENA CA 91107
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: STOCKDALE SMILES DENTISTRY AND ORTHODONTICS DENTAL GROUP PHI HUYN
License/Registration Type: Fictitious Name Permit
License Number: 10597 Primary Status: Current - Active
Address :
11120 STOCKDALE HIGHWAY, STE. 103
BAKERSFIELD CA 93311
KERN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIERRA COMMONS DENTAL GROUP, EASLEY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12168 Primary Status: Current - Active
Address :
755 W. RANCHO VISTA BLVD
PALMDALE CA 93551
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: IMPERIAL DENTAL PRACTICE LENG AND CHOKKA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14828 Primary Status: Current - Active
Address :
34880 YUCAIPA BLVD
YUCAIPA CA 92399
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ARLINGTON DENTAL GROUP, NGUYEN AND WATANABE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13795 Primary Status: Cancelled
Address :
3297 ARLINGTON AVE STE 101
RIVERSIDE CA 92506
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LANCASTER MODERN DENTISTRY DENTAL GROUP MICHAEL ORTEGA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16472 Primary Status: Current - Active
Address :
43531 10TH STREET W.
LANCASTER CA 93534
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BEAUMONT SMILES DENTISTRY DENTAL GROUP, SANAZ KHALEGHI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16446 Primary Status: Cancelled
Address :
1620 2ND ST MARKETPLACE, STE A
BEAUMONT CA 92223
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: IMPERIAL DENTAL PRACTICE AND ORTHODONTICS, CHOKKA DENTAL CORPORAT
License/Registration Type: Fictitious Name Permit
License Number: 12024 Primary Status: Cancelled
Address :
34880 YUCAIPA BLVD
YUCAIPA CA 92399
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: WEST COVINA DENTAL GROUP KARIM ZAKLAMA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12820 Primary Status: Current - Active
Address :
2700 E. WORKMAN AVENUE, SUITE A
WEST COVINA CA 91791
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PARK PLACE DENTAL GROUP, HOYLE AND HUSS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13599 Primary Status: Cancelled
Address :
501 S REINO RD STE G
NEWBURY PARK CA 91320
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF BAKERSFIELD DENTAL GROUP SHAH AND HUYNH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14614 Primary Status: Current - Active
Address :
1403 ALLEN RD STE 1000
BAKERSFIELD CA 93314
KERN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LINDERO CANYON DENTAL GROUP PATEL AND HUSS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15095 Primary Status: Current - Active
Address :
5784 LINDERO CANYON ROAD, SUITE B
THOUSAND OAKS CA 91362
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF STUDIO CITY DENTAL GROUP HANNA AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15075 Primary Status: Expired
Address :
12050 VENTURA BLVD., SUITE C-101
STUDIO CITY CA 91604
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF FONTANA DENTAL GROUP SCHMIDT AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14725 Primary Status: Current - Active
Address :
16944 S. HIGHLAND AVENUE, SUITE 400
FONTANA CA 92336
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THOUSAND OAKS DENTAL GROUP LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15450 Primary Status: Current - Active
Address :
1760 E. AVENIDA DE LOS ARBOLES., SUITE A
THOUSAND OAKS CA 91362
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CANDLEWOOD SMILES DENTISTRY DENTAL GROUP, BACH NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13777 Primary Status: Cancelled
Address :
4443 CANDLEWOOD ST
LAKEWOOD CA 90712
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FIRST STREET DENTAL GROUP, DENTAL CORPORATION OF KARIM ZAKLAMA, D.D.S.
License/Registration Type: Fictitious Name Permit
License Number: 17267 Primary Status: Cancelled
Address :
1197 E. LOS ANGELES AVENUE, SUITE E
SIMI VALLEY CA 93065
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF SOUTH PASADENA DENTAL GROUP, MARTIN GALSTYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16124 Primary Status: Current - Active
Address :
813 FAIR OAKS AVENUE
SOUTH PASADENA CA 91030
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LA CANADA SMILES DENTISTRY DENTAL GROUP, OKTANYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15678 Primary Status: Current - Active
Address :
2220 FOOTHILL BLVD., SUITE A
LA CANADA FLINTRIDGE CA 91011
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LANCASTER MODERN DENTISTRY DENTAL GROUP JOSEPH HANNA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12609 Primary Status: Cancelled
Address :
43531 10TH STREET WEST
LANCASTER CA 93534
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GOSFORD VILLAGE DENTAL GROUP, SHAH AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13597 Primary Status: Current - Active
Address :
5353 GOSFORD RD STE 103
BAKERSFIELD CA 93313
KERN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VALENCIA DENTAL GROUP AT COPPER HILL SAFARKOOLAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13516 Primary Status: Current - Active
Address :
28134 NEWHALL RANCH RD
VALENCIA CA 91355
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PCH SMILES DENTISTRY DENTAL GROUP, JEFFERSON AND KIM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13641 Primary Status: Current - Active
Address :
2740 PACIFIC COAST HWY
TORRANCE CA 90505
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF SOUTH PASADENA DENTAL GROUP MARTIN GALSTYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13142 Primary Status: Cancelled
Address :
813 FAIR OAKS AVENUE
SOUTH PASADENA CA 91030
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MISSION HILLS MODERN DENTISTRY DENTAL GROUP SEDIQ AND HANNA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15200 Primary Status: Cancelled
Address :
10306 SEPULVEDA BLVD
MISSION HILLS CA 91345
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF GLENDALE DENTAL GROUP JENNIFER HERBERT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14720 Primary Status: Current - Active
Address :
3900 SAN FERNANDO ROAD., SUITE A
GLENDALE CA 91204
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SAN DIMAS DENTAL OFFICE, COMPEAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13782 Primary Status: Cancelled
Address :
923 W ARROW HWY
SAN DIMAS CA 91773
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MARINA SMILES DENTISTRY DENTAL GROUP MOSHAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15097 Primary Status: Current - Active
Address :
6437 E. PACIFIC COAST HIGHWAY, UNIT A-6
LONG BEACH CA 90803
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TRIANGLE DENTAL GROUP, LENG AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14058 Primary Status: Current - Active
Address :
14305 BASELINE AVE
FONTANA CA 92336
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EMPIRE DENTAL GROUP, ELIE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13775 Primary Status: Current - Active
Address :
1635 N VICTORY PL
BURBANK CA 91502
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LINDERO CANYON DENTAL GROUP, JEDEDIAH V. HUSS, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 13747 Primary Status: Expired
Address :
5784 LINDERO CANYON RD STE B
THOUSAND OAKS CA 91362
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SANTA ANITA DENTAL GROUP, HAMBIK OKTANYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15679 Primary Status: Current - Active
Address :
721 W. HUNTINGTON DRIVE., SUITE B
ARCADIA CA 91007
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LONG BEACH SMILES DENTISTRY DENTAL GROUP, KEVIN CHUNG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17265 Primary Status: Current - Active
Address :
3533-A E. STEARNS STREET
LONG BEACH CA 90815
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE OF BELLFLOWER, ROBERTO NOCHEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19078 Primary Status: Current - Active
Address :
16411 BELLFLOWER BLVD., SUITE 103
BELLFLOWER CA 90706
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LOS ALTOS MODERN DENTISTRY DENTAL GROUP, MATSUNO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18912 Primary Status: Current - Active
Address :
6341 E. SPRING STREET
LONG BEACH CA 90808
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HERMOSA SMILES DENTISTRY DENTAL GROUP, OATES AND JEFFERSON DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 10668 Primary Status: Current - Active
Address :
1559 PACIFIC COAST HWY SUITE 101
HERMOSA BEACH CA 90254
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RIALTO DENTAL GROUP, SUDHAKAR R. CHOKKA, D.D.S.,INC.
License/Registration Type: Fictitious Name Permit
License Number: 13784 Primary Status: Cancelled
Address :
1629 S RIVERSIDE AVE
RIALTO CA 92376
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: IMPERIAL DENTAL PRACTICE LENG AND CHOKKA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13075 Primary Status: Cancelled
Address :
34880 YUCAIPA BLVD
YUCAIPA CA 92399
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CAMARILLO DENTAL GROUP GISELLE MAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13145 Primary Status: Current - Active
Address :
2380 E. LAS POSAS ROAD, SUITE A
CAMARILLO CA 93010
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SAN DIMAS DENTAL OFFICE ZAKLAMA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14826 Primary Status: Cancelled
Address :
923 W ARROW HWY
SAN DIMAS CA 91773
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LONG BEACH KIDS DENTISTRY DENTAL GROUP STEVEN WU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15592 Primary Status: Current - Active
Address :
7603 CARSON BLVD
LONG BEACH CA 90808
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CERRITOS SMILES DENTISTRY DENTAL GROUP, MICHAEL WONG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16159 Primary Status: Current - Active
Address :
11549 SOUTH STREET
CERRITOS CA 90703
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RIALTO DENTAL GROUP, SUDHAKAR R. CHOKKA, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 17710 Primary Status: Current - Active
Address :
1629 S. RIVERSIDE AVENUE
RIALTO CA 92376
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: REDONDO DENTISTRY DENTAL GROUP, CHRISTOPHER OATES DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13564 Primary Status: Cancelled
Address :
415 N PACIFIC COAST HWY STE 100
REDONDO BEACH CA 90277
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THOUSAND OAKS DENTAL GROUP LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13336 Primary Status: Cancelled
Address :
1760 E AVENIDA DE LOS ARBOLES SUITE A
THOUSAND OAKS CA 91362
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THOUSAND OAKS DENTAL GROUP, LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13215 Primary Status: Cancelled
Address :
1760 E. AVENIDA DE LOS ARBOLES, STE. A
THOUSAND OAKS CA 91362
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MISSION VALLEY DENTISTS DENTAL GROUP ARIANNEJAD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14676 Primary Status: Current - Active
Address :
5638 MISSION CENTER RD STE 107
SAN DIEGO CA 92108
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OXNARD SMILES DENTISTRY DENTAL GROUP YEATON AND MAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15054 Primary Status: Current - Active
Address :
1381 W CHANNEL ISLANDS BLVD
OXNARD CA 93033
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE OF LONG BEACH WU AND NAJAFI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15593 Primary Status: Current - Active
Address :
7370 CARSON BLVD
LONG BEACH CA 90808
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TRIANGLE DENTAL GROUP AND ORTHODONTICS - MY KIDS DENTIST, COMPEAN
License/Registration Type: Fictitious Name Permit
License Number: 12027 Primary Status: Cancelled
Address :
14305 BASELINE AVENUE
FONTANA CA 92336
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIERRA LAKES DENTAL GROUP JEFFERSON AND SCHMIDT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13409 Primary Status: Expired
Address :
16475 SIERRA LAKES PKWY STE 140
FONTANA CA 92336
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE ON SOQUEL CANYON QURBAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14470 Primary Status: Current - Active
Address :
15850 SOQUEL CANYON PKWY, STE A
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HARBOR CITY MODERN DENTISTRY DENTAL GROUP WALTER JEFFERSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15474 Primary Status: Current - Active
Address :
962 SEPULVEDA BLVD
HARBOR CITY CA 90710
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BRENTWOOD MODERN DENTISTRY DENTAL GROUP, MCDONOUGH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16582 Primary Status: Current - Active
Address :
12013 WILSHIRE BLVD
LOS ANGELES CA 90025
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHINO HILLS DENTAL GROUP, SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16588 Primary Status: Expired
Address :
3410 GRAND AVE STE F
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HEMET MODERN DENTISTRY DENTAL GROUP HART AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14497 Primary Status: Cancelled
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HIGHLAND DENTAL GROUP AND ORTHODONTICS, CHOKKA AND GHAZAL DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 11555 Primary Status: Current - Active
Address :
27949 GREENSPOT RD STE H
HIGHLAND CA 92346
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RIVERSIDE PLAZA DENTISTRY DENTAL GROUP KRAMER AND NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13171 Primary Status: Current - Active
Address :
3602 RIVERSIDE PLAZA DRIVE, SUITE 101
RIVERSIDE CA 92506
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CANYON SPRINGS DENTAL GROUP PENAFLORIDA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15251 Primary Status: Current - Active
Address :
2878 CAMPUS PKWY., SUITE 1
RIVERSIDE CA 92507
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MAIN STREET DENTAL GROUP, KHAZALI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13358 Primary Status: Current - Active
Address :
4360-C E MAIN STREET
VENTURA CA 93003
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FIRST STREET DENTAL GROUP, MAGDOS AND SETAREH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14223 Primary Status: Cancelled
Address :
1197 E LOS ANGELES AVE STE E
SIMI VALLEY CA 93065
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE OF LAKEWOOD LEONG AND PANDHOH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15475 Primary Status: Expired
Address :
2710 E. CARSON STREET
LAKEWOOD CA 90712
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE OF CARSON WALTER JEFFERSON, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 15682 Primary Status: Current - Active
Address :
612 E. CARSON STREET., SUITE 101
CARSON CA 90745
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: REDLANDS DENTAL GROUP, JACKSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15683 Primary Status: Cancelled
Address :
422 ORANGE STREET
REDLANDS CA 92374
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GLENDORA SMILES DENTISTRY DENTAL GROUP, SOOJIN LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15685 Primary Status: Current - Active
Address :
605 W ROUTE 66
GLENDORA CA 91741
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BEAUMONT SMILES DENTISTRY DENTAL GROUP, MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15686 Primary Status: Cancelled
Address :
1620 2ND STREET MARKETPLACE., SUITE A
BEAUMONT CA 92223
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHINO HILLS DENTAL GROUP, SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16589 Primary Status: Current - Active
Address :
3660 GRAND AVE STE C
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CANDLEWOOD SMILES DENTISTRY DENTAL GROUP, BACH NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17088 Primary Status: Current - Active
Address :
4443 CANDLEWOOD STREET
LAKEWOOD CA 90712
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: REDLANDS DENTAL GROUP, JACKSON AND AULICK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17053 Primary Status: Current - Active
Address :
422 ORANGE STREET
REDLANDS CA 92374
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MY KID'S DENTISTS DENTAL GROUP, SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16564 Primary Status: Current - Active
Address :
3580 GRAND AVENUE SUITE K
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF OLD TORRANCE DENTAL GROUP, MEGAN MOSHAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18304 Primary Status: Current - Active
Address :
1790 W. CARSON STREET, SUITE A
TORRANCE CA 90501
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIERRA LAKES DENTAL GROUP, JEFFERSON AND SCHMIDT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19128 Primary Status: Current - Active
Address :
16475 SIERRA LAKES PARKWAY, SUITE 140
FONTANA CA 92336
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RANCHO BERNARDO DENTAL GROUP, MOWREY AND RYGG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 7017 Primary Status: Cancelled
Address :
15371 BERNARDO HEIGHTS PKWY., STE. 101
SAN DIEGO CA 92128
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MAIN STREET DENTAL GROUP, DEAN LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13214 Primary Status: Cancelled
Address :
4360-C E. MAIN STREET
VENTURA CA 93303
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OXNARD MODERN DENTISTRY DENTAL GROUP MARAL KHAZALI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15199 Primary Status: Current - Active
Address :
2150 N. ROSE AVENUE
OXNARD CA 93036
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MONROVIA MODERN DENTISTRY DENTAL GROUP BHATIA AND SHETTY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15151 Primary Status: Current - Active
Address :
460 W. HUNTINGTON DRIVE
MONROVIA CA 91016
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE OF CARSON WALTER JEFFERSON, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 13340 Primary Status: Cancelled
Address :
612 E. CARSON STREET, SUITE 101
CARSON CA 90745
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHATSWORTH DENTISTRY DENTAL GROUP JOSEPH HANNA, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 14232 Primary Status: Current - Active
Address :
10316 MASON AVENUE
CHATSWORTH CA 91311
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BIXBY KNOLLS MODERN DENTISTRY DENTAL GROUP, LA-PHAM AND KANSAGRA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13925 Primary Status: Current - Active
Address :
4578 ATLANTIC AVE
LONG BEACH CA 90807
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MISSION OAKS DENTAL GROUP, WORKINGS AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13852 Primary Status: Current - Active
Address :
4900 VERDUGO WAY STE A
CAMARILLO CA 93012
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DOWNEY MODERN DENTISTRY DENTAL GROUP PESSAH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16491 Primary Status: Current - Active
Address :
12214 LAKEWOOD BLVD., SUITE 102
DOWNEY CA 90242
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: REDONDO DENTISTRY DENTAL GROUP, VUKOTIC AND OATES DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17051 Primary Status: Current - Active
Address :
415 N. PACIFIC COAST HWY. SUITE 100 A
REDONDO BEACH CA 90277
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BAKERSFIELD DENTAL GROUP LINDA BANG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16463 Primary Status: Current - Active
Address :
5120 STOCKDALE HWY, SUITE D
BAKERSFIELD CA 93309
KERN COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: JEFFERSON, WALTER
License/Registration Type: Dentist License
License Number: 53460 Primary Status: Current - Active
Address :
16475 SIERRA LAKES PKWY
STE 140
FONTANA CA 92336
SAN BERNARDINO COUNTY
