Dental Board of California
Licensing details for: 8290
Name: MOODY, NICHOLLS & CUMMINGS, DDS, INC
License Type: Additional Office Permit
Primary Status: Expired
Organization Classification: Corporation
Address of Record
1171 PUERTA DEL SOL
STE D
SAN CLEMENTE CA 92673
ORANGE 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: CUMMINGS, DAVID RAYMOND
License/Registration Type: Dentist License
License Number: 39142 Primary Status: Current - Active
Address :
26302 LA PAZ ROAD
SUITE 102
MISSION VIEJO CA 92691
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: NICHOLLS, DAVID W
License/Registration Type: Dentist License
License Number: 33505 Primary Status: Current - Active
Address :
26302 La Paz Rd Ste 102
MISSION VIEJO CA 92691-5327
ORANGE COUNTY
