Dental Board of California
Licensing details for: 14338
Name: ORTHODONTIC CENTER OF SANTA MONICA DENTAL PRACTICE OF GREGG A. TARTAKOW, DMD
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TARTAKOW, GREGG ALAN
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: TARTAKOW, GREGG ALAN
License/Registration Type: Dentist License
License Number: 54076 Primary Status: Current - Active
Address :
2825 Santa Monica Blvd
Suite 101
SANTA MONICA CA 90404-2429
LOS ANGELES COUNTY
