Dental Board of California
Licensing details for: 15382
Name: BURNS, RICHARD C
License Type: Dentist
Primary Status: Cancelled
Secondary Status: Radiation Safety Certification
Address of Record
24 BELFORD WAY
SAN MATEO CA 94402
SAN MATEO 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: ENDODONTIC ASSOCATES, RC BURNS, DD MOORE, VE MOORE,FR CHO,DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 1973 Primary Status: Cancelled
Address :
235 NORTH SAN MATEO DRIVE
SUITE 400
SAN MATEO CA 94401
SAN MATEO COUNTY
New License to Old License
License/Registration Role: New Dentist License
Related Party Role: Old Dentist License
Name: MOORE, VICTORIA ELIZABETH
License/Registration Type: Dentist License
License Number: 35765 Primary Status: Current - Active
Address :
235 N SAN MATEO
SUITE #400
SAN MATEO CA 94402
SAN MATEO COUNTY
New License to Old License
License/Registration Role: Old Dentist License
Related Party Role: New Dentist License
Name: MOORE, DAVID D
License/Registration Type: Dentist License
License Number: 15738 Primary Status: Cancelled
Address :
240 Bridge Rd
HILLSBOROUGH CA 94010-6910
SAN MATEO COUNTY
New License to Old License
License/Registration Role: Old Dentist License
Related Party Role: New Dentist License
Name: CHO, FREDERICK RODNEY
License/Registration Type: Dentist License
License Number: 35693 Primary Status: Current - Active
Address :
235 N SAN MATEO DRIVE
STE 400
SAN MATEO CA 94401
SAN MATEO COUNTY
New License to Old License
License/Registration Role: New Dentist License
Related Party Role: Old Dentist License
Name: CHO, FREDERICK RODNEY
License/Registration Type: Dentist License
License Number: 35693 Primary Status: Current - Active
Address :
235 N SAN MATEO DRIVE
STE 400
SAN MATEO CA 94401
SAN MATEO COUNTY
New License to Old License
License/Registration Role: Old Dentist License
Related Party Role: New Dentist License
Name: MOORE, VICTORIA ELIZABETH
License/Registration Type: Dentist License
License Number: 35765 Primary Status: Current - Active
Address :
235 N SAN MATEO
SUITE #400
SAN MATEO CA 94402
SAN MATEO COUNTY
