Dental Board of California
Licensing details for: 7103
Name: GLENDORA SMILES, DENTAL GROUP OF COMPEAN PROF. DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: GLENDORA SMILES, COMPEAN PROFESSIONAL DENTAL CORPORATION DENTAL GROUP
Address of Record
605 WEST ROUTE 66
GLENDORA CA 91741
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: COMPEAN, CARLOS GUILLERMO
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: COMPEAN, CARLOS GUILLERMO
License/Registration Type: Dentist License
License Number: 29127 Primary Status: Current - Active
Address :
10945South St. Ste. 200A
CERRITOS CA 90703
LOS ANGELES COUNTY
