Dental Board of California
Licensing details for: 106072
Name: LOGAN, SOPHIE ELIZABETH
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: BALLARD, SOPHIE ELIZABETH
Address of Record
824 Mission St
SANTA CRUZ CA 95060-3681
SANTA CRUZ county
Map
License Relationships
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: SEA GLASS ORTHODONTICS A DR. SOPHIE LOGAN DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 18894 Primary Status: Current - Active
Address :
824 MISSION ST
SANTA CRUZ CA 95060
SANTA CRUZ COUNTY
