Dental Board of California
Licensing details for: 14223
Name: FIRST STREET DENTAL GROUP, MAGDOS AND SETAREH DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Cancelled
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: JEFFERSON, WALTER
License/Registration Type: Dentist License
License Number: 53460 Primary Status: Current - Active
Address :
16475 SIERRA LAKES PKWY
STE 140
FONTANA CA 92336
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: Magdos, Katina Arianna
License/Registration Type: Dentist License
License Number: 64361 Primary Status: Expired
Address :
6410 Medical Center St
Suite B
LAS VEGAS NV 89148-2445
CLARK 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: SETAREH, KATAYOUN
License/Registration Type: Dentist License
License Number: 50822 Primary Status: Current - Active
Address :
18519 Devonshire St
NORTHRIDGE CA 91324-1308
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: HUYNH, PHI CANH
License/Registration Type: Dentist License
License Number: 56413 Primary Status: Current - Active
Address :
9440 Hageman Rd
suite a
BAKERSFIELD CA 93312-3976
KERN 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: REAGAN, DARIN SCOTT
License/Registration Type: Dentist License
License Number: 34407 Primary Status: Current - Active
Address :
30592 Santa Margarita Prkwy
Ste. D
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY
