Dental Board of California
Licensing details for: 17454
Name: CYPRESS ORTHODONTICS, DENTAL PRACTICE OF ERIK SOUTHERS DDS MS INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: CYPRESS ORTHODONTICS DENTAL OFFICE
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SOUTHERS, ERIK LEROY
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: SOUTHERS, ERIK LEROY
License/Registration Type: Dentist License
License Number: 42888 Primary Status: Current - Active
Address :
5001 W Cerritos Ave
Suite #B
CYPRESS CA 90630-4570
ORANGE COUNTY
