
Dental Board of California
Licensing details for: 3996
Name: KIDS DENTAL KARE, DENTAL GROUP OF JERRY L LANIER, DDS, INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
4900 WHITTIER BLVD
LOS ANGELES CA 90022
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LANIER, JERRY L
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LANIER, JERRY LEE
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: LANIER, JERRY LEE
License/Registration Type: Dentist License
License Number: 40088 Primary Status: Current - Active
Address :
2215 N VERMONT AVENUE
LOS ANGELES CA 90027
LOS ANGELES COUNTY