Dental Board of California
Licensing details for: 16519
Name: FASHION ISLAND ORAL SURGERY AND IMPLANTS DENTAL PRACTICE OF POYOUROW PROFESSIONAL DENTAL CORPORATION
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: POYOUROW, SOLOMON LOUIS RIKMAR
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: POYOUROW, SOLOMON LOUIS RIKMAR
License/Registration Type: Dentist License
License Number: 56129 Primary Status: Current - Active
Address :
1441 Avocado Ave Ste 406
NEWPORT BEACH CA 92660-7705
ORANGE COUNTY
