Dental Board of California
Licensing details for: 103276
Name: GUEVARA-LARA, SVETLANA NIKOLAYEVNA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
11480 Riley Rd
WILTON CA 95693-9749
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: GUEVARA-LARA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80879 Primary Status: Current - Active
Address :
992 FLORIN ROAD
SACRAMENTO CA 95831
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GREENHAVEN MODERN DENTISTRY DENTAL GROUP, GUEVARA-LARA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17071 Primary Status: Current - Active
Address :
9920 FLORIN ROAD
SACRAMENTO CA 95831
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: GREENHAVEN MODERN DENTISTRY DENTAL GROUP, GUEVARA-LARA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17071 Primary Status: Current - Active
Address :
9920 FLORIN ROAD
SACRAMENTO CA 95831
SACRAMENTO COUNTY
