Dental Board of California
Licensing details for: 13823
Name: SUMMIT DENTAL GROUP, ROBLES DDS & CASTELLANOS DDS INC
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: CASTELLANOS, MARIO JAVIER JR
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ROBLES, JOSUE MARIO
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: ROBLES, JOSUE MARIO
License/Registration Type: Dentist License
License Number: 60186 Primary Status: Current - Active
Address :
13533 Francisquito Ave.
BALDWIN PARK CA 91706
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: CASTELLANOS, MARIO JAVIER JR
License/Registration Type: Dentist License
License Number: 60364 Primary Status: Current - Active
Address :
2063 E Florida Ave
HEMET CA 92544-4730
