Dental Board of California
Licensing details for: 18302
Name: SHORELINE ORTHODONTICS DENTAL PRACTICE OF SEAN PRUSKY D.D.S., INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PRUSKY, SEAN DAVID
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: PRUSKY, SEAN DAVID
License/Registration Type: Dentist License
License Number: 60671 Primary Status: Current - Active
Address :
500 S Sepulveda Blvd
Suite 300
MANHATTAN BEACH CA 90266
LOS ANGELES COUNTY
