Dental Board of California
Licensing details for: 2663
Name: GREEN STREET DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
1175 E Green St
PASADENA CA 91106-2505
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GUINN, KAREN ELAINE
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: GUINN, KAREN ELAINE
License/Registration Type: Dentist License
License Number: 31275 Primary Status: Current - Active
Address :
1175 E Green St
PASADENA CA 91106-2505
LOS ANGELES COUNTY
