Dental Board of California
Licensing details for: 16864
Name: LA JOLLA HEALTH SERVICES DENTAL PRACTICE OF ROBERT TAKANO DDS
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Sole Owner
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LA JOLLA HEALTH SERVICES DENTAL PRACTICE OF ROBERT TAKANO DDS
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: TAKANO, ROBERT YOSHIO
License/Registration Type: Dentist License
License Number: 52501 Primary Status: Current - Active
Address :
153 S SIERRA AVE
UNIT 1333
SOLANA BEACH CA 92075-9998
SAN DIEGO COUNTY
