Dental Board of California
Licensing details for: 108201
Name: CASTILLO, MICHAEL FRANCIS
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: CASTILLO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81566 Primary Status: Current - Active
Address :
10842 BEAR HOLLOW DRIVE SUITE 101
RANCHO CORDOVA CA 95670
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MATHER MODERN DENTISTRY DENTAL GROUP, CASTILLO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17950 Primary Status: Current - Active
Address :
10842 BEAR HOLLOW DRIVE SUITE 101
RANCHO CORDOVA CA 95670
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: MATHER MODERN DENTISTRY DENTAL GROUP, CASTILLO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17950 Primary Status: Current - Active
Address :
10842 BEAR HOLLOW DRIVE SUITE 101
RANCHO CORDOVA CA 95670
SACRAMENTO COUNTY
