Dental Board of California
Licensing details for: 13566
Name: EUCLID FAMILY DENTISTRY, A DENTAL PRACTICE OF GARDNER DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
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
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



