Dental Board of California
Licensing details for: 11697
Name: INLAND DENTAL GROUP, PRACTICE OF TCHABOUKIAN DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: INLAND DENTAL GROUP PRACTICE OF TCHABOUKIAN DENTAL CORPORATION
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TCHABOUKIAN, JOHN OHANNES MANUEL
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: TCHABOUKIAN, JOHN OHANNES MANUEL
License/Registration Type: Dentist License
License Number: 56402 Primary Status: Current - Active
Address :
750 N Diamond Bar Blvd
216
DIAMOND BAR CA 91765-1023
LOS ANGELES COUNTY
