Dental Board of California
Licensing details for: 15853
Name: ORAL SURGERY PARTNERS; DENTAL PRACTICE OF TRENT WESTERNOFF MDM MD INC AND MARTIN MARDIROSIAN DDS MD APC
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Partnership
Previous Names: ORAL SURGERY PARTNERS
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: WESTERNOFF, TRENT HOWARD
License/Registration Type: Dentist License
License Number: 55703 Primary Status: Current - Active
Address :
604 N Sepulveda Blvd
MANHATTAN BEACH CA 90266-5921
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: MARDIROSIAN, MARTIN HAROOTUNE
License/Registration Type: Dentist License
License Number: 61160 Primary Status: Current - Active
Address :
REDONDO ORAL SURGERY
1706 SOUTH ELENA AVE, SUITE A
REDONDO BEACH CA 90277
LOS ANGELES COUNTY
