Dental Board of California
Licensing details for: 3595
Name: PLAYA VISTA ORTHODONTICS DENTAL OFFICE,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
6090 SEPULVEDA BLVD, STE 400
CULVER CITY CA 90230
LOS ANGELES 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: BYAS, JAMES SPENCER 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: BYAS, JAMES SPENCER JR
License/Registration Type: Dentist License
License Number: 25679 Primary Status: Current - Inactive
Address :
4007 DON DIABLO DR
LOS ANGELES CA 90008
LOS ANGELES 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: 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
