Dental Board of California
Licensing details for: 14154
Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP OF DOCTORS ECKSTEIN, OLEKSY & GILE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ECKSTEIN, JAMES RICHARD
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: OLEKSY, BRIAN KEITH
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: ECKSTEIN, JAMES RICHARD
License/Registration Type: Dentist License
License Number: 38273 Primary Status: Current - Active
Address :
306 WALNUT AVENUE
SUITE 26
SAN DIEGO CA 92103
SAN DIEGO 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: OLEKSY, BRIAN KEITH
License/Registration Type: Dentist License
License Number: 48759 Primary Status: Current - Active
Address :
306 WALNUT AVENUE, SUITE 26
SAN DIEGO CA 92103
SAN DIEGO COUNTY
