Dental Board of California
Licensing details for: 9904
Name: EDWIN O. BARZALLO, DDS, INC.
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: EDWIN BARZALLO
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: BARZALLO, EDWIN O
License/Registration Type: Dentist License
License Number: 49467 Primary Status: Current - Active
Address :
741 S Atlantic Blvd
LOS ANGELES CA 90022-3213
LOS ANGELES COUNTY
