Dental Board of California
Licensing details for: 2871
Name: PHILLIPS RANCH DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
4-B VILLAGE LOOP ROAD
POMONA CA 91766
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GLASSMAN, HOWARD GENE
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: GLASSMAN, HOWARD GENE
License/Registration Type: Dentist License
License Number: 24452 Primary Status: Expired
Address :
750 N Diamond Bar Blvd
Suite 206
DIAMOND BAR CA 91765-1023
LOS ANGELES COUNTY
