Dental Board of California
Licensing details for: 3319
Name: TEMECULA ORTHODONTIC DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Address of Record
41593 WINCHESTER ROAD #214
TEMECULA CA 92590
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LUTHER, MICHAEL LOUIS
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LUTHER, MICHAEL
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: LUTHER, MICHAEL LOUIS
License/Registration Type: Dentist License
License Number: 23125 Primary Status: Current - Active
Address :
913 EAST VALLEY PARKWAY
ESCONDIDO CA 92025
SAN DIEGO COUNTY
