Dental Board of California
Licensing details for: 2522
Name: PASS FAMILY DENTISTRY
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
4240 W RAMSEY
BANNING CA 92220
RIVERSIDE 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: ACOSTA, ADRIAN
License/Registration Type: Dentist License
License Number: 37769 Primary Status: Current - Active
Address :
901 W Whittier Blvd
LA HABRA CA 90631-3743
ORANGE COUNTY
