Dental Board of California
Licensing details for: 5244
Name: KIDS DENTAL KARE DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1355 E FLORENCE AVENUE
LOS ANGELES CA 90001
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LANIER, JERRY LEE
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: LANIER, JERRY LEE
License/Registration Type: Dentist License
License Number: 40088 Primary Status: Current - Active
Address :
2215 N VERMONT AVENUE
LOS ANGELES CA 90027
LOS ANGELES COUNTY
