Dental Board of California
Licensing details for: 16696
Name: LA MIRADA FAMILY DENTAL DENTAL OFFICE OF GILBERT KHIN LAY DDS
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Sole Owner
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: LAY, GILBERT KHIN
License/Registration Type: Dentist License
License Number: 40648 Primary Status: Current - Active
Address :
13922 imperial hwy
LA MIRADA CA 90638
LOS ANGELES COUNTY



