Dental Board of California
Licensing details for: 7478
Name: WILLIAM J. MC KIBBEN, DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
295 REDONDO AVENUE #102
LONG BEACH CA 90803
LOS ANGELES 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: LEVI, SOHEIL PISHGAR
License/Registration Type: Dentist License
License Number: 39195 Primary Status: Current - Active
Address :
6020 SEABLUFF DR #5
LOS ANGELES CA 90094
LOS ANGELES 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: MC KIBBEN, WILLIAM JAMES
License/Registration Type: Dentist License
License Number: 27457 Primary Status: Expired
Address :
310 Basalt Ln
ELLENSBURG WA 98926-6100
KITTITAS COUNTY
