Dental Board of California
Licensing details for: 2517
Name: RANCHO DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Address of Record
30592 Santa Margarita Pkwy
RANCHO SANTA MARGARITA CA 92688-5802
ORANGE county
Map
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: REAGAN, DARIN SCOTT
License/Registration Type: Dentist License
License Number: 34407 Primary Status: Current - Active
Address :
30592 Santa Margarita Prkwy
Ste. D
RANCHO SANTA MARGARI CA 92688
ORANGE 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: JENSEN, MARVIN FLETCHER
License/Registration Type: Dentist License
License Number: 24308 Primary Status: Cancelled
Address :
525 E SEASIDE WAY UNIT 2206
LONG BEACH CA 90802-8020
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: SAMINI, SAMIRA
License/Registration Type: Dentist License
License Number: 45872 Primary Status: Expired
Address :
22896 HUNTER CREEK
MISSION VIEJO CA 92692
ORANGE COUNTY
