Dental Board of California

Licensing details for: 4560

Name: SOUTHLAND DENTAL GROUP, ANTOINE SOURIALLE, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

399 E HIGHLAND AVE, STE 120
SAN BERNARDINO CA 92404
SAN BERNARDINO county
Map

Issuance Date

October 10, 2003

Expiration Date

February 29, 2028

Current Date / Time

April 4, 2026
8:09:47 PM

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: SOURIALLE, ANTOINE ONSI

License/Registration Type: Dentist License

License Number: 44093 Primary Status: Current - Active

Address :
399 E Highland Ave
Suite 120
SAN BERNARDINO CA 92404-3808
SAN BERNARDINO COUNTY