Dental Board of California
Licensing details for: 3490
Name: REIZIAN, ALEXANDROS MIHALIS
License Type: Oral Conscious Sedation
Primary Status: Current - Active
Specialty: Adult
Address of Record
4711 Monroe Ave
SAN DIEGO CA 92115-3202
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TALMADGE FAMILY DENTAL DENTAL PRACTICE OF ALEXANDROS REIZIAN
License/Registration Type: Fictitious Name Permit
License Number: 17467 Primary Status: Current - Active
Address :
4711 MONROE AVE
SAN DIEGO CA 92115
SAN DIEGO 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: REIZIAN, ALEXANDROS MIHALIS
License/Registration Type: Dentist License
License Number: 64496 Primary Status: Current - Active
Address :
4711 MONROE AVE
SAN DIEGO CA 92115-3202
SAN DIEGO COUNTY
