Dental Board of California
Licensing details for: 10244
Name: ALTON IMPLANT CENTER & DENTISTRY, GAGAN UPPAL DDS CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: ALTON IMPLANT CENTER
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: UPPAL, GAGAN
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: UPPAL, GAGAN
License/Registration Type: Dentist License
License Number: 55640 Primary Status: Current - Active
Address :
360 S. Glendora Ave #1
WEST COVINA CA 91790
LOS ANGELES COUNTY
