Dental Board of California
Licensing details for: 4276
Name: LA VERNE DENTAL GROUP, DENTAL CORPORATION OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
2216 FOOTHILL BLVD
LA VERNE CA 91750
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: STROMBERG, LOUIS ZANE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: STROMBERG, LOUIS Z
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: STROMBERG, LOUIS ZANE
License/Registration Type: Dentist License
License Number: 30879 Primary Status: Expired
Address :
16868 MAIN STREET
HESPERIA CA 92345
SAN BERNARDINO COUNTY
