Dental Board of California
Licensing details for: 14995
Name: SMILELINE DENTAL & ORTHODONTICS DENTAL GROUP OF GIANCARLO TASSARA, DDS, INC
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: TASSARA, GIANCARLO GIUSEPPE
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: TASSARA, GIANCARLO GIUSEPPE
License/Registration Type: Dentist License
License Number: 56932 Primary Status: Current - Active
Address :
1111 W Town and Country Rd
Unit 46
ORANGE CA 92868-4615
ORANGE COUNTY
