Dental Board of California
Licensing details for: 5900
Name: GATEWAY DENTAL GROUP OF RIVERSIDE, BRYAN K WATANABE,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
10286 INDIANA AVE
RIVERSIDE CA 92503
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: WATANABE, BRYAN KAZUMI
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MARFATIA, RIKIM AKSHAY
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DARMSTADT, STEVEN DAVID
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: WATANABE, BRYAN KAZUMI
License/Registration Type: Dentist License
License Number: 40130 Primary Status: Current - Active
Address :
40760 California Oaks Rd.
MURRIETA CA 92562
RIVERSIDE 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: DARMSTADT, STEVEN DAVID
License/Registration Type: Dentist License
License Number: 28919 Primary Status: Current - Active
Address :
1751 W ROMNEYA DR STE C
ANAHEIM CA 92801
ORANGE 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: MARFATIA, RIKIM AKSHAY
License/Registration Type: Dentist License
License Number: 48327 Primary Status: Current - Active
Address :
18102 Irvine Blvd
205
TUSTIN CA 92780-3402
ORANGE COUNTY
