Dental Board of California
Licensing details for: 8169
Name: LA JOLLA TOWNSIDE FAMILY DENTISTRY GROUP, N. PAVLOV, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: LAJOLLA TOWNSIDE FAMILY DENTISTRY ❖ LA JOLLA TOWNSIDE FAMILY DENTISTRY
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PAVLOV, NIKOLAI PAVLOV
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: PAVLOV, NIKOLAI PAVLOV
License/Registration Type: Dentist License
License Number: 44055 Primary Status: Expired
Address :
706 Townsite Dr
706 Townsite Dr.
VISTA CA 92084-4502
SAN DIEGO COUNTY
