Dental Board of California
Licensing details for: 7576
Name: REDONDO ORAL SURGERY DENTAL PRACTICE OF BARRY JOHNSIN, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
1706 S. ELENA AVE.
REDONDO BEACH CA 90277
LOS ANGELES county
Map
License Relationships
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: JOHNSIN, BARRY
License/Registration Type: Dentist License
License Number: 25725 Primary Status: Cancelled
Address :
26624 Nokomis Rd
RANCHO PALOS VERDES CA 90275-2449
LOS ANGELES 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: WESTERNOFF, TRENT HOWARD
License/Registration Type: Dentist License
License Number: 55703 Primary Status: Current - Active
Address :
604 N Sepulveda Blvd
MANHATTAN BEACH CA 90266-5921
