Dental Board of California
Licensing details for: 17038
Name: WESTERNOFF, DMD, MD, & MARDIROSIAN, DDS, MD, GP-W DENTAL GROUP DBA: ORAL SURGERY PARTNERS - WESTCHESTER
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Partnership
Previous Names: WESTERNOFF, DMD, MD, & MARDIROSIAN, DDS, MD, GP-W
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: WESTERNOFF, TRENT HOWARD
License/Registration Type: Dentist License
License Number: 55703 Primary Status: Current - Active
Address :
604 N Sepulveda Blvd
MANHATTAN BEACH CA 90266-5921
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: MARDIROSIAN, MARTIN HAROOTUNE
License/Registration Type: Dentist License
License Number: 61160 Primary Status: Current - Active
Address :
REDONDO ORAL SURGERY
1706 SOUTH ELENA AVE, SUITE A
REDONDO BEACH CA 90277
LOS ANGELES COUNTY
