Dental Board of California
Licensing details for: 7634
Name: CAMARILLO DENTAL GROUP, LAMBRIDIS AND MAR DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
2380 E. LAS POSAS ROAD
STE. A
CAMARILLO CA 93010
VENTURA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MAR, GISELLE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LAMBRIDIS, DEAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PORTER, JESSE PAUL
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: LAMBRIDIS, DEAN
License/Registration Type: Dentist License
License Number: 51199 Primary Status: Current - Active
Address :
30831 MARSEILLE WAY
WESTLAKE VILLAGE CA 91362
VENTURA 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: MAR, GISELLE
License/Registration Type: Dentist License
License Number: 54263 Primary Status: Current - Active
Address :
2380-A E Las Posas Rd
CAMARILLO CA 93010
VENTURA 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: PORTER, JESSE PAUL
License/Registration Type: Dentist License
License Number: 51189 Primary Status: Cancelled
Address :
1391 TOULON ST
OCEANSIDE CA 92056
SAN DIEGO COUNTY
