Dental Board of California
Licensing details for: 4961
Name: EL CAMINO FAMILY DENTAL OFFICE, NICOLAS LINGAD-QUIZON, DDS,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
247 W CARSON ST
CARSON CA 90745
LOS ANGELES county
Map
License Relationships
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: QUIZON, NICOLAS PEDRO LINGAD
License/Registration Type: Dentist License
License Number: 47995 Primary Status: Current - Active
Address :
23712 Main St
CARSON CA 90745-5744
LOS ANGELES 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: LOPEZ-QUIZON, AMELIA
License/Registration Type: Dentist License
License Number: 41850 Primary Status: Current - Active
Address :
2313 W 235TH STREET
TORRANCE CA 90501
LOS ANGELES COUNTY
