Dental Board of California
Licensing details for: 10381
Name: HAWTHORNE DENTAL AND BRACES, DENTAL OFFICE OF TIMOTHY D. VERNY, D
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VERNY, TIMOTHY D
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: VERNY, TIMOTHY D
License/Registration Type: Dentist License
License Number: 48778 Primary Status: Current - Active
Address :
15017 Hawthorne Blvd
LAWNDALE CA 90260-1504
LOS ANGELES COUNTY
