Dental Board of California
Licensing details for: 1475
Name: BEACH CITIES ENDODONTICS, DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Sole Owner
Address of Record
500 S. SEPULVEDA BLVD., STE 305
MANHATTAN BEACH CA 90266
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GREENSPAN, MELVIN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GREENSPAN, MELVIN ALEXANDER
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: GREENSPAN, MELVIN ALEXANDER
License/Registration Type: Dentist License
License Number: 36930 Primary Status: Current - Active
Address :
500 SO. SEPULVEDA BLVD.
STE 305
MANHATTAN BEACH CA 90266
LOS ANGELES COUNTY
