Dental Board of California
Licensing details for: 16242
Name: MAGICLAND DENTAL GROUP OF MORENO VALLEY, DENTAL GROUP OF MICHAEL VINCENT LAUREOLA DDS INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: MICHAEL VINCENT LAUREOLA, DDS, INC. / DBA MAGICLAND DENTAL GROUP OF MORENO VALLEY
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: LAUREOLA, MICHAEL VINCENT
License/Registration Type: Dentist License
License Number: 55121 Primary Status: Current - Active
Address :
1800 S Pacific Coast Hwy
51
REDONDO BEACH CA 90277-6185
LOS ANGELES COUNTY
