Dental Board of California
Licensing details for: 6410
Name: KIDS DENTAL KARE, DENTAL GROUP, LEENA JACOB, DDS, A PROF. CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: KIDS DENTAK KARE, DENTAL GROUP, LEENA JACOB, DDS, A PROF. CORP.
Address of Record
10900 LONG BEACH BLVD.
LYNWOOD CA 90262
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: JACOB, LEENA MARY
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: JACOB, LEENA MARY
License/Registration Type: Dentist License
License Number: 44488 Primary Status: Current - Active
Address :
1357 E Florence Ave
LOS ANGELES CA 90001-1934
LOS ANGELES COUNTY
