Dental Board of California
Licensing details for: 2633
Name: SEPULVEDA DENTAL CARE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Sole Owner
Address of Record
3706 SEPULVEDA BLVD
TORRANCE CA 90505
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MORIMOTO, MYLES MINEO
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: MORIMOTO, MYLES MINEO
License/Registration Type: Dentist License
License Number: 40687 Primary Status: Current - Active
Address :
3706 SEPULVEDA BLVD
TORRANCE CA 90505
LOS ANGELES COUNTY
