Dental Board of California
Licensing details for: 4475
Name: DOWNEY ORTHODONTIC CENTER, DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
10445 LAKEWOOD BLVD, STE 101
DOWNEY CA 90241
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ABBINK, KRISTEN MILLER
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GHOLDOIAN, GEORGE S
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: Abbink, Kristen Miller
License/Registration Type: Dentist License
License Number: 47129 Primary Status: Current - Active
Address :
1775 CORTE JUBILO
CAMARILLO CA 93012
VENTURA 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: GHOLDOIAN, GEORGE S
License/Registration Type: Dentist License
License Number: 17684 Primary Status: Cancelled
Address :
19501 SUMMER BREEZE LANE
HUNTINGTON BEACH CA 92648
ORANGE COUNTY
