Dental Board of California
Licensing details for: 3458
Name: CENTRAL DENTAL CARE, DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
223 W SAN BERNARDINO ROAD
COVINA CA 91723
LOS ANGELES county
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License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: OCTOMAN, CELIA P
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: OCTOMAN, CELIA PONCE
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: OCTOMAN, CELIA PONCE
License/Registration Type: Dentist License
License Number: 30490 Primary Status: Current - Active
Address :
2023 BEVERLY BLVD
LOS ANGELES CA 90057-2417
LOS ANGELES COUNTY
