Dental Board of California
Licensing details for: 7330
Name: SOUTH COAST ORTHODONTICS, DENTAL OFFICE, MARC PANA PROF. DENTAL C
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: SOUTH COAST ORTHODONTICS
Address of Record
6 HUGHES
STE. 100
IRVINE CA 92618
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PANA, MARC R
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: PANA, MARC R
License/Registration Type: Dentist License
License Number: 54184 Primary Status: Current - Active
Address :
25242 Derbyhill Dr
LAGUNA HILLS CA 92653-5894
ORANGE COUNTY
