Dental Board of California
Licensing details for: 13004
Name: VISION DENTAL PRACTICE OF CHENG AND GARCIA DENTAL CORPORATION
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: CHENG, WILLIAM JOSEPH
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GARCIA-JASNY, ROGELIO 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: CHENG, WILLIAM JOSEPH
License/Registration Type: Dentist License
License Number: 61674 Primary Status: Current - Active
Address :
1502 Montana Ave
Suite 205
SANTA MONICA CA 90403
LOS ANGELES 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: GARCIA-JASNY, ROGELIO MANUEL
License/Registration Type: Dentist License
License Number: 61672 Primary Status: Current - Active
Address :
10700 Santa Monica Blvd
Ste. 140
LOS ANGELES CA 90025-4768
LOS ANGELES COUNTY
