Skip to Main Content

Licensing details for: 81758

Name: NATHAN NITTAYO, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1717 WALNUT GROVE AVENUE SUITE 500
ROSEMEAD CA 91770
LOS ANGELES county
Map

Practice Location

1717 WALNUT GROVE AVENUE SUITE 500
ROSEMEAD CA 91770
LOS ANGELES county
Map

Issuance Date

April 3, 2024

Expiration Date

October 31, 2026

Current Date / Time

June 7, 2025
10:42:22 AM

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: NITTAYO, NATHAN D

License/Registration Type: Dentist License

License Number: 107158 Primary Status: Current - Active

Address :
1717 Walnut Grove Ave Ste 500
ROSEMEAD CA 91770-3799
LOS ANGELES COUNTY

Map

Important Links