Dental Board of California
Licensing details for: 15111
Name: LA ENDODONTICS DR. GABREAL SHAMTOUB DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Expired
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: SHAMTOUB, GABREAL
License/Registration Type: Dentist License
License Number: 62844 Primary Status: Current - Active
Address :
5567 Reseda Blvd
100
TARZANA CA 91356-2674
LOS ANGELES COUNTY
