Dental Board of California
Licensing details for: 12309
Name: DENTAL WELLNESS, DENTAL PRACTICE OF SOLOMON DENTAL CORP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: DENTAL WELLNESS, PRACTICE OF SOLOMON DENTAL CORP
Address of Record
23101 SHERMAN PLACE,
SUITE 520
WEST HILLS CA 91307
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SOLOMON, SID
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: SOLOMON, SID
License/Registration Type: Dentist License
License Number: 36836 Primary Status: Current - Active
Address :
1620 WESTWOOD BLVD
LOS ANGELES CA 90024
LOS ANGELES COUNTY
