Dental Board of California
Licensing details for: 2547
Name: PACIFIC DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Address of Record
2016 S ATLANTIC BLVD
MONTEREY PARK CA 91754
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: WHITWORTH, JOHNNY CLYDE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DERHARTOUNIAN, HARMIK
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: DERHARTOUNIAN, HARMIK
License/Registration Type: Dentist License
License Number: 41394 Primary Status: Current - Active
Address :
111 S Garfield Ave
101
MONTEBELLO CA 90640-3800
LOS ANGELES COUNTY
