Dental Board of California
Licensing details for: 3525
Name: SANTEE COTTONWOOD DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
9715 MISSION GORGE RD
SANTEE CA 92071
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DOMBROW, DONALD R
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MACIAS, AMBER MOORE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KASHANI, KOUROSH ARYANPUR
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: KASHANI, KOUROSH ARYANPUR
License/Registration Type: Dentist License
License Number: 44494 Primary Status: Current - Active
Address :
6585 EL CAJON BLVD
SAN DIEGO CA 92115
SAN DIEGO 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: DOMBROW, DONALD R
License/Registration Type: Dentist License
License Number: 18311 Primary Status: Cancelled
Address :
6071 DEERFORD ROW
SAN DIEGO CA 92037
SAN DIEGO 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: MACIAS, AMBER MOORE
License/Registration Type: Dentist License
License Number: 46501 Primary Status: Current - Active
Address :
1148 Macias Ct
SAN JOSE CA 95120-4247
SANTA CLARA COUNTY
