Dental Board of California
Licensing details for: 79097
Name: KING DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
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: KING, GILBERT PETER-LAI
License/Registration Type: Dentist License
License Number: 36463 Primary Status: Current - Active
Address :
19139 Stare St
NORTHRIDGE CA 91324-1266
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: KING, FIDELIS SANTILLAN
License/Registration Type: Dentist License
License Number: 36423 Primary Status: Current - Active
Address :
646 N LARCHMONT BLVD
LOS ANGELES CA 90004
LOS ANGELES COUNTY



