Dental Board of California
Licensing details for: 10871
Name: SANTA ANA SMILES, DENTAL PRACTICE OF GARDNER & GARDNER DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: SANTA ANA SMILES DENTAL PRACTICE OF GARDNER & GARDNER DDS, INC.
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GARDNER, MICHAEL DEAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GARDNER, ASAL
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: GARDNER, ASAL
License/Registration Type: Dentist License
License Number: 61418 Primary Status: Current - Active
Address :
211 N EUCLID AVE
ONTARIO CA 91762
SAN BERNARDINO COUNTY
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: GARDNER, MICHAEL DEAN
License/Registration Type: Dentist License
License Number: 60485 Primary Status: Current - Active
Address :
1617 E 1st St
Suite A
SANTA ANA CA 92701-6385
ORANGE COUNTY
