Dental Board of California
Licensing details for: 3272
Name: HARBOR DENTAL OFFICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
440 FAIR DRIVE SUITE R
COSTA MESA CA 92626
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KOUYOUMDJIAN, LEVON GARBIS
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: KOUYOUMDJIAN, LEVON GARBIS
License/Registration Type: Dentist License
License Number: 47500 Primary Status: Expired
Address :
6703 Green Gable Mnr
SPRING TX 77389-3069
HARRIS COUNTY
