Dental Board of California
Licensing details for: 14796
Name: LAGUNA SPA DENTISTRY OLEX & MADANY DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: OLEX, ALLISON LYNNAE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MADANY, REZA
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: MADANY, REZA
License/Registration Type: Dentist License
License Number: 53924 Primary Status: Current - Active
Address :
26712 Estanciero Dr
MISSION VIEJO CA 92691-5409
ORANGE 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: OLEX, ALLISON LYNNAE
License/Registration Type: Dentist License
License Number: 54562 Primary Status: Current - Active
Address :
24017 ORO GRANDE LN
MISSION VIEJO CA 92691-4315
ORANGE COUNTY
