Dental Board of California
Licensing details for: 5820
Name: CIVIC CENTER DENTAL GROUP, TAUB DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
135 CIVIC CENTER DRIVE
NATIONAL CITY CA 91950
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TAUB, ERNEST D
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TAUB, ERNEST
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: TAUB, ERNEST D
License/Registration Type: Dentist License
License Number: 9516 Primary Status: Cancelled
Address :
135 CIVIC CENTER DR STE 102
NATIONAL CITY CA 91950
SAN DIEGO COUNTY
