
Dental Board of California
Licensing details for: 13786
Name: HIGH DESERT SMILES DENTISTRY DENTAL GROUP, RITESH KUMAR 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: STROMBERG, LOUIS ZANE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MOORE, ANDREA CHRISTIANE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KUMAR, RITESH
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHOKKA, SUDHAKAR RAO
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: MOORE, ANDREA CHRISTIANE
License/Registration Type: Dentist License
License Number: 48337 Primary Status: Current - Active
Address :
1875 N Campus Ave
UPLAND CA 91784-8208
SAN BERNARDINO 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: STROMBERG, LOUIS ZANE
License/Registration Type: Dentist License
License Number: 30879 Primary Status: Expired
Address :
16868 MAIN STREET
HESPERIA CA 92345
SAN BERNARDINO 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: CHOKKA, SUDHAKAR RAO
License/Registration Type: Dentist License
License Number: 41376 Primary Status: Current - Active
Address :
27949 Greenspot Rd
Ste. H
HIGHLAND CA 92346-4443
SAN BERNARDINO 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: KUMAR, RITESH
License/Registration Type: Dentist License
License Number: 50944 Primary Status: Current - Active
Address :
2468 San Antonio Cres E
UPLAND CA 91784-1180
SAN BERNARDINO COUNTY