Dental Board of California
Licensing details for: 5050
Name: MOUNTAINSIDE DENTAL CARE, A DENTAL PRACTICE OF
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
11834 BRYANT ST
YUCAIPA CA 92399
SAN BERNARDINO county
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License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: WOLFRAM, STEVEN MARK
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: WOLFRAM, STEVEN
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: WOLFRAM, STEVEN MARK
License/Registration Type: Dentist License
License Number: 52164 Primary Status: Current - Active
Address :
11834 BRYANT STREET
SUITE 104
YUCAIPA CA 92399
SAN BERNARDINO COUNTY
