Dental Board of California
Licensing details for: 16580
Name: KIDS 2 DENTIST -DENTAL GROUP JERRY L LANIER, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: KIDS 2 DENTIST GROUP JERRY L LANIER, DDS, INC.
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LANIER, JERRY LEE
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: LANIER, JERRY LEE
License/Registration Type: Dentist License
License Number: 40088 Primary Status: Current - Active
Address :
2215 N VERMONT AVENUE
LOS ANGELES CA 90027
LOS ANGELES COUNTY
