Dental Board of California
Licensing details for: 2672
Name: CASTELLANOS, MARIO JAVIER JR
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: CASTELLANOS, JR, MARIO JAVIER ❖ CASTELLANOS, MARIO JAVIER
Address of Record
2063 E Florida Ave
HEMET CA 92544-4730
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SUMMIT DENTAL GROUP, ROBLES DDS & CASTELLANOS DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 13823 Primary Status: Cancelled
Address :
831 E LAMBERT RD STE C
LA HABRA CA 90631
ORANGE 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: CASTELLANOS, MARIO JAVIER JR
License/Registration Type: Dentist License
License Number: 60364 Primary Status: Current - Active
Address :
2063 E Florida Ave
HEMET CA 92544-4730
