Approval Provider 94501 91803 - California

Approval Number PF045 PF070 PF093 PF071 PF034 PF154 PF128 PF060 PF142 PF031 PF124 PF068 PF120 PF401 PF066 PF064 PF038 PF072 PF057 PF102 PF145 PF054 PF040 PF125 PF017 PF118 PF002 PF021 PF162 PF148 PF147 PF067 PF115 PF100 PF096

Provider College of Alameda Everest College AKA NEC, Bryman Alhambra American Career College - Anaheim Everest College AKA NEC, Bryman Anaheim Carrington College California - Antioch Contra Costa Medical Career College Cabrillo College Dental Hygiene Brightwood College - Bakersfield Central California Dental Academy San Joaquin Valley College UEI College - Bakersfield My Dentist, School for Dental Assistants Horizon College Charter College - Canyon Country Butte County ROP Pima Medical Institute Carrington College California - Citrus Heights Everest College AKA NEC, Bryman City of Industry Brightwood College - Clovis Four-D College - Colton Frontier Dental Care Heald College - Concord Mt. Diablo Adult Education - Loma Vista Center Unitek College-Concord Orange Coast College West Los Angeles College Dental Specialties Institute Inc. Cypress College Indigo Career College Downey Adult School American Dental Academy Newbridge College San Diego - East Dental Courses 4 U The FADE Institute The Valley School for Dental Assisting

Dental Board of California - Approved Pit & Fissure Sealants Courses

Address of Record

City

State Postal Code Course Director

555 Ralph Appezzato Memorial Parkway Alameda

CA

94501

Carla Pegues

2215 Mission Rd.

Alhambra

CA

91803

1200 N Magnolia Ave.

Anaheim

CA

92801

Cecilia Cabrera

511 N. Brookhurst, Ste. 300

Anaheim

CA

92801

2157 Country Hills Dr.

Antioch

CA

94509

4041 LoneTree Wy., Ste. 101

Antioch

CA

94531

Debbie Silva

6500 Soquel Dr., Bldg 2121

Aptos

CA

95006

Noel Kelsch

1914 Wible Rd.

Bakersfield

CA

93304

2540 G Street

Bakersfield

CA

93301

Amanda Saling

201 New Stine Rd.

Bakersfield

CA

93309

Kimberly Rosalez

3737 Rosedale Hwy.

Bakersfield

CA

93309

3826 Florence Ave.

Bell

CA

90201

Dr. Sepher Sadeghpour

141 Sand Creek Rd., Ste. G

Brentwood

CA

94513

Dr. Cecilia Fejarang

27125 Sierra Highway, Ste. 329

Canyon Country CA

91351

Linda Simpson

2491 Carmichael Dr., Ste. 200

Chico

CA

95928

Coleen Salinas

780 Bay Blvd.

Chula Vista

CA

91940

7301 Greenback Ln.,Ste. A

Citrus Heights

CA

95621

Kathleen Shanel

12801 Crossroads Parkway St.

City of Industry CA

91746

44 Shaw Ave.

Clovis

CA

93612

1020 E. Washington St.

Colton

CA

92324

1855 Willow Pass Rd.

Concord

CA

94520

Romeo Ramos, DDS

5130 Commercial Cir.

Concord

CA

94520

1266 San Carlos Ave.

Concord

CA

92118

Mee Ying Coffer

1401 Willow Pass Rd., Ste. 160

Concord

CA

94520

Edna Dolatre

2701 Fairview Rd.

Costa Mesa

CA

92626

Joy Myers

9000 Overland Ave.

Culver City

CA

90230

Carlos Sermeno

10383 Torre Ave., Ste. K & L

Cupertino

CA

95014

Suzie Dault

9200 Valley View St.

Cypress

CA

90630

Elizabeth Pacheco

822 Hartz Way, Suite 100

Danville

CA

94526

Andrea Powell

12340 Woodruff Ave.

Downey

CA

90241

Mai E. Dunbar

212 S. Atlantic Blvd., Ste. 103, 106

East Los Angeles CA

90022

Lin Yun Hu, DDS

878 Jackman St.

El Cajon

CA

92020

6540 Koki Ln.

El Dorado

CA

95623

Lauri Calanchini

4995 Golden Foothill Parkway, Ste. 100 El Dorado Hills

CA

95762

LaDonna Drury-Klein

16500 Ventura Blvd. Ste. 315

Encino

CA

91436

Katie Karzen

Email

Direct Phone Number

ccabera@americancareercollege.edu 714-763-9092

debbie@ccmc.edu brclark@cabrillo.edu

831-479-6472

ccda2017@ kimberly.rosalez@sjvc.edu

661-372-0175 661-834-0126 ext. 144

info@

310-663-6631

cfejarang@

925-634-4200

linda.simpsone@chartercollege.edu 425-275-4919

csalinas@

530-879-7465

kshanel@carrington.edu

916-676-0017

frontierdentalcare@

925-671-8970

mdaetooth@ ednad@unitekcollege.edu jlmyers@cd.edu sermenc@wlac.edu info@dental- epacheco@cypresscollege.edu

925-685-7340 ext. 6728 925-348-9396 714-432-5565 310-287-7224 408-578-2074 714-484-7293

mdunbar@ adalosangeles@

562-940-6200 323-622-6688

dc4u2@ DonnaKlein@ bepulaski@

916-358-3820 916-717-4788

818-995-1500

PF088 PF121 PF122 PF091 PF028 PF157 PF156 PF127 PF010 PF026 PF080 PF020 PF155 PF160 PF046 PF049 PF454 PF998 PF089 PF111 PF012 PF132 PF103 PF152 PF153 PF151 PF135 PF119 PF110 PF517 PF092 PF141 PF073 PF079 PF149 PF144 PF099

College of the Redwoods

7351 Tompkins Hill Rd.

Eureka

CA

Mendocino Coast Clinics, Inc.

205 South St.

Fort Bragg

CA

Unitek College - Fremont

4670 Auto Mall Parkway

Fremont

CA

Galen College - Fresno

1325 N Wishon Ave.

Fresno

CA

San Joaquin Valley College

295 E. Sierra Ave.

Fresno

CA

Dental Assisting Institute

4832 N.First St., Ste. 105

Fresno

CA

Wayne I. Kodama Institute of Dental Assisting

2045 North Dower

Fresno

CA

Fullerton Dental Assistant School

2720 N. Harbor Blvd., Ste. 110

Fullerton

CA

North Orange County ROP

301 S. Acacia

Fullerton

CA

Concorde Career College - North Hollywood

12941 Euclid St., Ste. 101

Garden Grove

CA

Everest College AKA NEC, Bryman Gardena

1045 W Redondo Beach Blvd., Ste. 275 Gardena

CA

Citrus College

1000 Foothill Blvd.

Glendora

CA

California Dental Educators

8757 Auburn Folsom Rd., Unit 2480

Granite Bay

CA

Eden Area Regional Occupational Program

26316 Hesperian Blvd.

Hayward

CA

Eden Area ROP

26316 Hesperian Blvd.

Hayward

CA

Heald College - Hayward

25500 Industrial Blvd.

Hayward

CA

Hesperia Unified School District formerly - Hesperia Alternative Center - San Bernardino County ROP 16527 Lemon St.

Hesperia

CA

San Joaquin Valley College - Hesperia

9331 Mariposa Rd.

Hesperia

CA

Dental Career Institute

18377 Beach Blvd., Ste. # 328

Huntington Beach CA

Riverside County ROP - Indio

47-336 Oasis St.

Indio

CA

College of Marin

835 College Ave.

Kentfield

CA

Kingsburg School of Dental Assisting

1518 Draper St.

Kingsburg

CA

Charter College - Lancaster

43141 Business Ctr. Pkwy., Ste. 102

Lancaster

CA

High Desert Medical College - Bakersfield

701 West Ave. K, Ste. 123

Lancaster

CA

High Desert Medical College - Lancaster

701 West Ave. K, Ste. 123

Lancaster

CA

High Desert Medical College - Temecula

701 West Ave. K, Ste. 123

Lancaster

CA

Academy of Evolution in Dental Assisting

16709 Hawthorne Blvd.

Lawndale

CA

Loma Linda University School of Dentistry

11245 Anderson St., Ste. 120

Loma Linda

CA

Charter College - Long Beach

100 West Broadway

Long Beach

CA

Foothill College

12345 El Monte Rd.

Los Altos Hills

CA

American Career College - Los Angeles

4021 Rosewood Ave.

Los Angeles

CA

CBD College

3699 Wilshire Blvd., 4th Floor

Los Angeles

CA

Everest College AKA NEC, Bryman Los Angeles

3460 Wilshire Blvd., Ste. 500

Los Angeles

CA

Everest College AKA NEC, Bryman W Los Angeles

3000 S Robertson Blvd, Ste. 300

Los Angeles

CA

International Institute for Wellness

5417 Venice Blvd.

Los Angeles

CA

Los Angeles School of Dental Assisting

2701 Bevelry Blvd.

Los Angeles

CA

UCLA School of Dentistry

10833 LeConte Ave., Rm A0-121 CHS Los Angeles

CA

95501 95437 94538 92728 93710 93726 93723 92835 92831 92840 90247 91741 95746 94545 94545 94545 92345 92334 92648 92201 90494 93631 93535 93534 93534 93534 90260 92350 90802 94022 90004 90010 90010 90034 90019 90057 90095

Tamara McNealy Dr. Marty R. Lipsey Dr. Michael Alijani DDS Eric M Meyer DDS

tamaram@sjvc.edu info@ susam@healthysmiles.us

559-256-3450 559-777-4146 559-229-6437 714-851-4079

Cindy Navarro

cnavarro@concorde.edu

714-620-1024

Pauline Stuckey Kathy O'Brien Kathy O'Brien

californiadentaleducators@ 916-287-3222

kobrien@

510-293-2965

kathyob@

510-293-2965

Barbara Bonner Cindy Ovard Benson Dimaranan Karen Comstock

Dr. H.S. Mann

barbara.bonner@

DentalCareerinstitute@ kcomstock@rcoe.us

760-244-1771 ext. 5167 760-948-1947 562-704-2651 760-863-3039

dentalcare911@

559-875-7980 559-897-4111

Dalene Garett Dalene Garett Dalene Garett Sheila Slay Jeri Fowler

dgarrett@hdmc.edu dgarrett@hdmc.edu dgarrett@hdmc.edu academyda@ jlfowler@llu.edu

626-536-4367 909-558-4399

Nicole Alvarez

Nicole@cbd.edu

213-427-2200

Dr. Ana Rankovic, DDS

education@

Fernando de la Pena, DDS drfdelapena@

310-438-7971 213-389-6211

PF163 PF143 PF001 PF138 PF105 PF082 PF527 PF095 PF161 PF165

PF025 PF047 PF019 PF523 PF094 PF087 PF074 PF114 PF171

PF081 PF137 PF059 PF134 PF106 PF005 PF131 PF168

PF868 PF050 PF029 PF016 PF109 PF455 PF117 PF530 PF075 PF048

Dental Advantage - Madera Ordemy D.P.O.C - D.E.P.O.C Dental Education Professionals of California Milan Institute - Merced Dental Assisting Institute Modesto Junior College Montery Peninsula College Premier Dental Educational Services Moreno Valley College Dental Assisting Program Dental Advantage - Newhall Concorde Career College - North Hollywood Pacific Dental Services - Northridge Cerritos College College of Marin Indian Valley Campus American Career College - Ontario Baldy View ROP Everest College AKA NEC, Bryman Ontario Charter College - Oxnard Sugarbug Dental & Orthodontics

Expanded Functions Dental Assistant Association Milan Institute - Palm Desert Brightwood College - Palm Springs Infotech Career College Health Quest Academy Pasadena City College American Dental and Medical Institute Lollipop Pediatric Dentistry & Orthodontics Carrington College California - Pleasant Hill Pacific Dental Services - River City San Joaquin Valley College Chaffey College Pacific Dental Services - Rancho Cucamonga Shasta Trinity ROP Redwood City Dental Institute Reedley College Everest College AKA NEC, Bryman Reseda Pacific Dental Services - Riverside

500 E. Almond Ave. Suite 3 410 8th Ave. 3144 North G St. #125-318 780 Loughborough Dr. 3300 Tully Rd., Ste. A6 435 College Ave. 980 Fremont St. 177 Webster St., Ste. 210 16130 Lasselle St. 25078 Peachland Ave., Suite H

12412 Victory Blvd. 18519 Devonshire St. 11110 Alondra Blvd. 1800 Ignacio Blvd., MB 27, Rm 209 3130 E Sedona Ct. 1501 S. Bon View Ave. 1460 S. Milliken Ave. 2000 Outlet Center Dr., Ste. 150 3601 W. 5th Street, Suite A

42-335 Washington St. Ste. F-378 75030 Gerald Ford Dr., Ste. 203 2475 E Tahquitz Canyon Wy. 8527 Alondra Blvd., Ste. 174 2500 E. Foothill Blvd., Ste. 406 1570 E Colorado Blvd. 988 Washington Blvd. 1041 E Yorba Linda Blvd, Suite 206

380 Civic Dr., Ste. 300 10910 Olson Dr., Ste. 100 11050 Olson Dr. 5885 Haven Ave. 10797 Foothill Blvd. 4659 East Side Rd. 20 Birch St. 995 N. Reed Ave. 18040 Sherman Wy., Ste. 400 1485 University Ave.

Madera

CA

Menlo Park

CA

Merced

CA

Merced

CA

Modesto

CA

Modesto

CA

Monterey

CA

Monterey

CA

Moreno Valley CA

Newhall

CA

North Hollywood CA

Northridge

CA

Norwalk

CA

Novato

CA

Ontario

CA

Ontario

CA

Ontario

CA

Oxnard

CA

Oxnard

CA

Palm Desert

CA

Palm Desert

CA

Palm Springs

CA

Paramount

CA

Pasadena

CA

Pasadena

CA

Pasdena

CA

Placentia

CA

Pleasant Hil

CA

Rancho Cordova CA

Rancho Cordova CA

Rancho Cucamonga CA

Rancho Cucamonga CA

Redding

CA

Redwood City

CA

Reedley

CA

Reseda

CA

Riverside

CA

93637 94025 95340 95648 95350 95350 93940 93940 92552 91321

91606 91324 90650 94949 91761 91761 91761 93036 93030

92211 92211 92262 90723 91107 91750 91104 92870

94523 95670 95670 92737 91730 96001 94062 93654 91335 92507

Alynn Walker Karishma Jumani, DDS Julie Mendoza Amanda Sandoval Dr. Marty R. Lipsey

alynnwalker1@ jumaniortho@ flos2us@

info@

209-358-0707 650-382-2782 209-723-6622 209-230-9420 209-527-0101

Karoline Grasmuck

kgrasmuck@mpc.edu

831-646-4137

Lidia Hulshof Alynn Walker

alynnwalker1@

209-358-0707

Joann Cunningham Lydia Cosio

562-860-2541 ext. 2587

Linda Simpson Armand Begian DDS

Barbara Blade Terri Calderon Lakeysha Murphy Lylan Pham Dr. Pacita Franco Dr. Denise Romero Dr. D Dr. Mary Pham

Donna Nardi

linda.simpsone@chartercollege.edu 425-275-4919 805-985-2400

efdaa4u@

760-200-2851

tcalderon@milaninstitute.edu

760-469-4545

lakeysha.murphy@brightwood.edu 760-778-3554 ext. 3561

562-804-1239

drfranco8@

626-795-6566

dmromero@pasadena.edu

626-585-7883

drd@

626-345-0005 ext. 3 714-528-8252

dnardi@carrington.edu

925-609-6650

Dr. Ihab M Hanna Lois Parento

drhanna@ lois.parento@reedleycollege.edu

650-701-1111 559-638-0370

PF042 PF062 PF170 PF032 PF056 PF039 PF004 PF139 PF006 PF123 PF061 PF024 PF076 PF166

PF063 PF027 PF033 PF116 PF041 PF084 PF077 PF008 PF007 PF036 PF108 PF078 PF085 PF169

PF130 PF035 PF164 PF159 PF052 PF014 PF022 PF133 PF013

Riverside County Office of Ed/School of Career Education Brightwood College - Riverside Roseville Dental Academy Anthem College Brightwood College - Sacramento Carrington College California - Sacramento J Productions RDA4U Sacramento City College - Dental Continuing Eduation Department Unitek College - Sacramento Brightwood College - Modesto/Salida Concorde Career College - San Bernardino Everest College AKA NEC, Bryman San Bernardino Dental Advantage - San Carlos Brightwood College - San Diego California Dental Certifications Concorde Career College - San Diego Howard Healthcare Academy - The Super Dentists School of Dental Assisting Professional Dental Enterprises San Diego Mesa College Everest College AKA NEC, Bryman San Francisco Santa Ana Unified School District - Central County ROP UC San Francisco - Continuing Dental Education Carrington College California - San Jose Dental Advantage - San Jose Everest College AKA NEC, Bryman San Jose North San Jose City College TMS Unitek College - San Jose Carrington College California - San Leandro Dental Advantage - San Luis Obispo California Dental Certifications Pacific Dental Services - San Marcos Palomar College College of San Mateo Dental Assisting School of San Pablo/Vacaville Allan Hancock College

3939 Thirteenth St. 4040 Vine St. 1271 Pleasant Grove Blvd, Ste. 100 9738 Lincoln Village Dr., Ste. 100 4330 Watt Ave., Ste. 400 8909 Folsom Blvd. 2619 J St. 2810 Seton Hill Ct. 3835 Freeport Blvd., RS 131 1111 Howe Ave., Ste. 300 5172 Kiernan Ct. 201 E Airport Dr., Ste. A 217 East Club Center Dr., Ste. A 1785 San Carlos Ave. Suite 1

Riverside

CA

Riveside

CA

Roseville

CA

Sacramento

CA

Sacramento

CA

Sacramento

CA

Sacramento

CA

Sacramento

CA

Sacramento

CA

Sacramento

CA

Salida

CA

San Bernardino CA

San Bernardino CA

San Carlos

CA

9055 Balboa Ave. 1059 First Ave. 4393 Imperial Ave., Ste. 100 9737 Aero Dr., Ste. 200 3251 Adams Ave. Ste. A 7250 Mesa College Dr. 814 Mission St., Ste. 500 50 Phelan Ave., C-4 707 Parnassus Ave. Rm D-4010 6201 San Ignacio Ave. 1569 Lexann Ave. Ste. 218 1245 S Winchester Blvd., Ste. 102 2100 Moorpark Ave. 1600 Willow Street #250

San Diego

CA

San Diego

CA

San Diego

CA

San Diego

CA

San Diego

CA

San Diego

CA

San Francisco

CA

San Francisco

CA

San Francisco

CA

San Jose

CA

San Jose

CA

San Jose

CA

San Jose

CA

San Jose

CA

6800 Santa Teresa Blvd.

San Jose

CA

15555 E 14th St., Ste. 500

San Leandro

CA

689 Tank Farm Road, Suite 220

San Luis Obispo CA

1582 San Marcos Blvd., Ste. 102

San Marcos

CA

709 Center Dr., Ste. 101

San Marcos

CA

1144 W. Mission Rd.

San Marcos

CA

1700 W. Hillsdale Blvd. Bldg #5, Rm. 329 San Mateo

CA

3380 A San Pablo Dam Rd.

San Pablo

CA

800 S College Dr.

Santa Maria

CA

95202 92507 95747 95827 95821 95826 95816 95826 95822 95825 95368 92408 92408 94070

92123 92101 92113 92123 92116 92111 94103 94112 94143 95119 95121 95128 95128 9512

95119 94578 93401 92069 92069 92069 94402 94803 93420

Burgundy Kowalski

bkowalski@rcoe.us

1-951-826-6335

Dr. Michael Narodovich rosevilledentalacademy@ 916-772-6248

Caroline Millunzi Tracie Ramage

caroline.millunzi@brightwood.edu tramage@carrington.edu

916-480-4238 916-361-5148

Melodi Randolph

RDA4U@

916-206-6852

Nefretiri Taylor

nefretirit@unitekcollege.edu

916-641-6500 ext. 3562

Laura Daugherty

Alynn Walker Lorena Meza Adele Baca

ldaugherty@concorde.edu

909-884-8891 ext. 337

alynnwalker1@ lorena.meza@brightwood.edu imadentaldiva@

209-358-0707 858-654-3698 858-722-8504

Lorena Meza Linda Kay Hughes

lorena.meza@ 619-869-2319

pde.linda@

619-584-6262

Alynn Walker

alynnwalker1@

209-358-0707

Laura L Sanchez Stacey Lam

Virginia Dalmacio Hossai Kochai Alynn Walker Adele Baca

virginiad@unitekcollege.edu hkochai@carrington.edu alynnwalker1@

408-298-2181 ext. 3254 408-265-5880

669-900-5672 510-921-3270 209-358-0707

Denise Rudy

drudy@palomar.edu

760-744-1150 ext. 2571

Dr. Birenderpal S. Sandhu

Kathy Johnson

kjohnson@hancockcollege.edu

510-262-0611 805-922-6966 ext. 3386

PF053 PF097 PF113 PF107 PF158 PF003 PF150 PF055 PF065 PF043 PF167

PF009 PF069 PF140 PF051 PF126 PF112 PF015 PF129 PF104 PF030 PF136 PF058 PF146 PF086 PF101

Santa Rosa Junior College Grossmont Health Occupation Center, ROP Ohanian Dental Corporation Simi Valley Adult School and Career Institute Lake Tahoe Community College Health Personnel Resources OC Dental Specialists - Stanton Brightwood College - Stockton Carrington College California - Stockton Heald College - Stockton Dental Advantage - Sunnyvale Dental Pros Southern California Regional Occupational Ctr OC Dental Specialists - also located in Stanton Pacific Dental Services - Tustin Kairos Career College Blake Austin College Santa Clarita School of Dental Assisting California Institute of Dental Education Four-D College - Victorville San Joaquin Valley College Milan Institute - Visalia Brightwood College - Vista Dental Educators Tri-Cities Regional Occupational Program River Oaks Dental

1501 Mendocino Ave. 9368 Oak Bourne Rd. 4910 Van Nuys Blvd., Ste 208 1880 Blackstock St. 1 College Dr. 223 Bartmess Blvd. 11702 Beach Blvd. 722 W March Ln. 1313 W Robinhood Dr., Ste. B 1605 E. March Ln. 1253 West El Camino Real, Suite C

27349 Jefferson Ave, Ste. 207 2300 Crenshaw Blvd. 1076 E. First St., Ste. D 13721 Newport Ave., Ste. 1 2057 W. Foothill Blvd. 611-K Orange Drive 27450 Tourney Rd., Ste. 250 3585 Telegraph Rd., Ste. B 16534 Victor St. 8400 W. Mineral King Blvd. 6500 South Mooney Blvd. 2022 University Dr. 1433 W. Merced Ave., Ste. 206 10800 Benavon St., Unit E 1424 Live Oak Blvd.

Santa Rosa

CA

Santee

CA

Sherman Oaks

CA

Simi Valley

CA

South Lake Tahoe CA

Sparks

NV

Stanton

CA

Stockton

CA

Stockton

CA

Stockton

CA

Sunnyvale

CA

Temecula

CA

Torrance

CA

Tustin

CA

Tustin

CA

Upland

CA

Vacaville

CA

Valencia

CA

Ventura

CA

Victorville

CA

Visalia

CA

Visalia

CA

Vista

CA

West Covina

CA

Whittier

CA

Yuba City

CA

95401 92071 91403 93065 96150 89436 90680 95207 95207 95210 94087

95290 90501 92780 92780 91786 95687 91355 93003 92395 93291 93277 92083 91790 90606 95991

Carol Hatrick Diana Harshman Dr. Armine Ohanian

chatrick@santarosa.edu dharshman@ aakdental@

707-527-4583 619-956-4328 818-442-1715

Elizabeth Ferguson

ecgferguson@mail.ltcc.edu

530-541-4660 ext. 583

Thomas Boone, DDS

ocdacertification@

855-665-4200

Donna Bega

dbega@carrington.edu

209-472-8289

Alynn Walker Catherine Ell Martha Arredondo Thomas Boone, DDS

alynnwalker1@

marrendondo@scroc.k12.ca.us ocdentalfax@

209-358-0707

310-224-4200 ext. 258 714-665-4200

Daniel W. Hwang

Vanessa Beckett

Vanessab@blakeaustincollege.edu

Dr. Kellly Smudde

info@

Perkilis Proussaefs DDS,MS

707-455-0557 ext. 212 661-259-4474

Tammy Wright Dawn Moore Nelly Parayno, DDS Pat McCaw

twright@milaninstitute.edu dawn.moore@brightwood.edu

pmccaw@

559-684-3900 760-305-4683 626-480-1509 562-698-9571 ext. 212

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