Dental Board of California
Licensing details for: 3383
Name: PERSONAL DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
6222 WILSHIRE BLVD #103
LOS ANGELES CA 90048
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: OCHI, KENNETH DANIEL
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CADALSO, ROBERT
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: OCHI, KENNETH
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CADALSO, ROBERT TOMAS JR
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: CADALSO, ROBERT TOMAS JR
License/Registration Type: Dentist License
License Number: 30639 Primary Status: Deceased
Address :
2855 Chateau Way
LAGUNA BEACH CA 92651-2010
ORANGE 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: OCHI, KENNETH DANIEL
License/Registration Type: Dentist License
License Number: 28778 Primary Status: Expired
Address :
2511 ARTESIA BLVD
REDONDO BEACH CA 90278
LOS ANGELES COUNTY
