Dental Board of California
Licensing details for: 26717
Name: VEHAWN, MICHAEL T
License Type: Dentist
Primary Status: Expired
Secondary Status: Reduced Renewal Fee
Address of Record
2732 LUCENA DRIVE
SAN JOSE CA 95132
SANTA CLARA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EVERGREEN DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1337 Primary Status: Cancelled
Address :
MICHAEL T. VEHAWN
3162 NEWBERRY DRIVE
SAN JOSE CA 95118
SANTA CLARA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MILPITAS DNT PRT M VEHAWN M KOWITZ
License/Registration Type: Fictitious Name Permit
License Number: 507 Primary Status: Cancelled
Address :
1213 E CALAVERAS BLVD
MILPITAS CA 95035
SANTA CLARA 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: MILPITAS DNT PRT M VEHAWN M KOWITZ
License/Registration Type: Fictitious Name Permit
License Number: 507 Primary Status: Cancelled
Address :
1213 E CALAVERAS BLVD
MILPITAS CA 95035
SANTA CLARA 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: EVERGREEN DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1337 Primary Status: Cancelled
Address :
MICHAEL T. VEHAWN
3162 NEWBERRY DRIVE
SAN JOSE CA 95118
SANTA CLARA COUNTY
