Dental Board of California
Licensing details for: 5903
Name: SOUTH COAST DENTAL SERVICES, DENTAL PRACTICE OF
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
30190 TOWN CENTER DR, STE B
LAGUNA NIGUEL CA 92677
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BOYD, RODNEY
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MAR, GARY
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MAR, GARY MICHAEL
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BOYD, RODNEY WAYNE
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: MAR, GARY MICHAEL
License/Registration Type: Dentist License
License Number: 37868 Primary Status: Current - Active
Address :
30140 Town Center Dr
LAGUNA NIGUEL CA 92677-2037
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: BOYD, RODNEY WAYNE
License/Registration Type: Dentist License
License Number: 39760 Primary Status: Current - Active
Address :
22972 MOULTON PKWY #106
LAGUNA HILLS CA 92653
ORANGE COUNTY
