Dental Board of California
Licensing details for: 100369
Name: O'Donnell, Ryan
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Credential
Address of Record
2465 Iron Point Rd
Suite 120
FOLSOM CA 95630-8754
SACRAMENTO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: DELGADO AND O'DONNELL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79984 Primary Status: Cancelled
Address :
8908 MADISON AVENUE
FAIR OAKS CA 95628
SACRAMENTO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: O'DONNELL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79328 Primary Status: Current - Active
Address :
2465 IRON POINT ROAD STE 120
FOLSOM CA 95630
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FOLSOM HILLS DENTISTRY DENTAL GROUP, O'DONNELL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19190 Primary Status: Current - Active
Address :
2465 IRON POINT RD. SUITE 120
FOLSOM CA 95630
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RIVER CITY DENTAL GROUP DELGADO AND O'DONNELL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14857 Primary Status: Expired
Address :
8908 MADISON AVE
FAIR OAKS CA 95628
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FOLSOM HILLS DENTISTRY DENTAL GROUP, O'DONNELL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13549 Primary Status: Cancelled
Address :
2465 IRON POINT RD STE 120
FOLSOM CA 95630
SACRAMENTO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: RIVER CITY DENTAL GROUP DELGADO AND O'DONNELL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14857 Primary Status: Expired
Address :
8908 MADISON AVE
FAIR OAKS CA 95628
SACRAMENTO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: FOLSOM HILLS DENTISTRY DENTAL GROUP, O'DONNELL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19190 Primary Status: Current - Active
Address :
2465 IRON POINT RD. SUITE 120
FOLSOM CA 95630
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: FOLSOM HILLS DENTISTRY DENTAL GROUP, O'DONNELL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13549 Primary Status: Cancelled
Address :
2465 IRON POINT RD STE 120
FOLSOM CA 95630
SACRAMENTO COUNTY
