Dental Board of California
Licensing details for: 5956
Name: KURUVADI DENTAL CORP.
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
215 THIRD AVENUE
CHULA VISTA CA 91910
SAN DIEGO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MAR, GARY MICHAEL
License/Registration Type: Dentist License
License Number: 37868 Primary Status: Current - Active
Address :
30140 Town Center Dr
LAGUNA NIGUEL CA 92677-2037
ORANGE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: KURUVADI, SAILAJA
License/Registration Type: Dentist License
License Number: 39431 Primary Status: Expired
Address :
1111 Majestad Ln
CHULA VISTA CA 91910-7924
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: KURUVADI, VINOD SATHYA
License/Registration Type: Dentist License
License Number: 37686 Primary Status: Expired
Address :
1111 Majestad Ln
CHULA VISTA CA 91910-7924
SAN DIEGO COUNTY
