Dental Board of California
Licensing details for: 3336
Name: HOLLYWOOD-VINE DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
5280 HOLLYWOOD BLVD
LOS ANGELES CA 90027
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VILSHANSKY, GARY
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: VILSHANSKY, GARY
License/Registration Type: Dentist License
License Number: 29516 Primary Status: Expired
Address :
DR LOPEZ AMERICAN DENTAL
LOS ANGELES CA 90031
LOS ANGELES COUNTY
