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Licensing details for: 17877

Name: SUMMER SMILE DENTAL PRACTICE OF S. TORBATI & D. TORBATI INC

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1239 N. AVALON BLVD., SUITE A
WILMINGTON CA 90744
LOS ANGELES county
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Practice Location

1239 N. AVALON BLVD., SUITE A
WILMINGTON CA 90744
LOS ANGELES county
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Issuance Date

June 5, 2023

Expiration Date

September 30, 2024

Current Date / Time

October 26, 2026
3:44:30 AM

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: TORBATI, DONA

License/Registration Type: Dentist License

License Number: 57788 Primary Status: Current - Active

Address :
8116 CALIFORNIA AVE
Ste B and C
SOUTH GATE CA 90280
LOS ANGELES COUNTY

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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: TORBATI, SHAILA

License/Registration Type: Dentist License

License Number: 61146 Primary Status: Current - Active

Address :
8116 California Ave
STE C
SOUTH GATE CA 90280-2400
LOS ANGELES COUNTY

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