Dental Board of California
Licensing details for: 2868
Name: PALMER & BRAND CULVER DEL REY DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
12202 WASHINGTON BLVD
LOS ANGELES CA 90066
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PALMER, PAUL BRIAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BRAND, MICHAEL JONATHAN
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: BRAND, MICHAEL JONATHAN
License/Registration Type: Dentist License
License Number: 31574 Primary Status: Current - Active
Address :
2811 Wilshire Blvd
950
SANTA MONICA CA 90403-4803
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: PALMER, PAUL BRIAN
License/Registration Type: Dentist License
License Number: 28603 Primary Status: Current - Inactive
Address :
23569 Sunnymead Ranch Pkwy
ste A
MORENO VALLEY CA 92557-2884
RIVERSIDE COUNTY
