Dental Board of California
Licensing details for: 856
Name: LA CADENA DENTAL OFFICE, DR JUSUF D DHARMAWAN INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
405 N LA CADENA
COLTON CA 92324
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DHARMAWAN, JEFFREY
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: DHARMAWAN, JEFFREY
License/Registration Type: Dentist License
License Number: 33276 Primary Status: Current - Active
Address :
PO Box 622
COLTON CA 92324-0622
SAN BERNARDINO COUNTY
