Dental Board of California
Licensing details for: 1168
Name: ALHAMBRA FAMILY & COSMETIC DENTISTRY
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Secondary Status: Cancelled at the Request of the Licensee
Address of Record
330 S GARFIELD AVENUE, STE 216
ALHAMBRA CA 91801
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BERGARA, STEVEN ROBERT
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BERGARA, STEVEN R
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: BERGARA, STEVEN ROBERT
License/Registration Type: Dentist License
License Number: 34929 Primary Status: Current - Active
Address :
330 S GARFIELD AVE
SUITE 216
ALHAMBRA CA 91801
LOS ANGELES COUNTY
