Dental Board of California
Licensing details for: 9419
Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP OF DRS. PAVEL, ECK
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Previous Names: CENTER FOR ORAL & FACIAL SURGERY
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PAVEL, FRANK LESTER
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: PAVEL, FRANK LESTER
License/Registration Type: Dentist License
License Number: 29414 Primary Status: Expired
Address :
2405 MARILOUISE WAY
SAN DIEGO CA 92103
SAN DIEGO COUNTY
