Dental Board of California
Licensing details for: 8372
Name: MOODY, NICHOLLS & CUMMINGS, DDS, INC.
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
360 SAN MIGUEL DR, STE 402
NEWPORT BEACH CA 92660
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: 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
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: MOODY, REX C
License/Registration Type: Dentist License
License Number: 24148 Primary Status: Cancelled
Address :
507 N SULLIVAN STE 120
SPOKANE VALLEY WA 99037
