Dental Board of California
Licensing details for: 18852
Name: DOWNEY ORAL AND MAXILLOFACIAL SURGERY DENTAL PRACTICE OF DR. SAMUEL LIU AND DR. SIRISH MAKAN
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
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: LIU, SAMUEL
License/Registration Type: Dentist License
License Number: 101334 Primary Status: Current - Active
Address :
3231 S Bentley Ave
LOS ANGELES CA 90034-5203
LOS ANGELES COUNTY
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: MAKAN, SIRISH
License/Registration Type: Dentist License
License Number: 65305 Primary Status: Current - Active
Address :
10601 Paramount Blvd
DOWNEY CA 90241-3303
LOS ANGELES COUNTY



