Dental Board of California
Licensing details for: 4544
Name: HAWTHORNE FAMILY & COSMETIC DENTAL OFFICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
13402 S HAWTHORNE BLVD
HAWTHORNE CA 90250
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BIMBLI, NIKOLIN SPIRO
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: BIMBLI, NIKOLIN SPIRO
License/Registration Type: Dentist License
License Number: 44147 Primary Status: Current - Active
Address :
13901 S HAWTHORNE BLVD
HAWTHORNE CA 90250
LOS ANGELES COUNTY
