Dental Board of California
Licensing details for: 2139
Name: CENTER FOR ORAL AND FACIAL SURGERY, DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
FRANK PAVEL
150 WEST MADISON
EL CAJON CA 92020
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: THEODORE, IRENE T
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PAVEL, FRANK
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MACHADO, LESTER
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HENDRIX, WILLIAM E
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PAVEL, FRANK LESTER
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: THEODORE, IRENE T
License/Registration Type: Dentist License
License Number: 38372 Primary Status: Cancelled
Address :
4200 WEST PETERSON
NO 136
CHICAGO IL 60646
COOK 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: MACHADO, LESTER
License/Registration Type: Dentist License
License Number: 29080 Primary Status: Expired
Address :
501 WASHINGTON AVE
STE 710
SAN DIEGO CA 92103
SAN DIEGO 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: PAVEL, FRANK
License/Registration Type: Dentist License
License Number: 11988 Primary Status: Cancelled
Address :
306 WALNUT STE 26
SAN DIEGO CA 92103
SAN DIEGO 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: PAVEL, FRANK LESTER
License/Registration Type: Dentist License
License Number: 29414 Primary Status: Expired
Address :
2405 MARILOUISE WAY
SAN DIEGO CA 92103
SAN DIEGO 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: HENDRIX, WILLIAM E
License/Registration Type: Dentist License
License Number: 18335 Primary Status: Deceased
Address :
14169 HILLSIDE DRIVE
JAMUL CA 91935
SAN DIEGO COUNTY
