License Relationships
MS to DDS or OMS or SP
License/Registration Role: Moderate Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: ASSAF, GINA DEANA
License/Registration Type: Dentist License
License Number: 61197 Primary Status: Current - Active
Address :
12791 Newport Ave
#100
TUSTIN CA 92780-2751
ORANGE COUNTY
