Dental Board of California
Licensing details for: 26789
Name: STEFANAC, MATTHEW R
License Type: Dentist
Primary Status: Cancelled
Secondary Status: Reduced Renewal Fee
Address of Record
PO Box 11642
ZEPHYR COVE NV 89448-3642
DOUGLAS 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: MATTHEW R STEFANAC DDS
License/Registration Type: Additional Office Permit
License Number: 4872 Primary Status: Cancelled
Address :
1902 TRACY BLVD
TRACY CA 95376
SAN JOAQUIN COUNTY
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: MATTHEW R STEFANAC, DDS
License/Registration Type: Additional Office Permit
License Number: 5546 Primary Status: Cancelled
Address :
1816 W KETTLEMAN, STE C
LODI CA 95242
SAN JOAQUIN 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: DELTA ENDODONTICS DENTAL OFFICE,
License/Registration Type: Fictitious Name Permit
License Number: 3859 Primary Status: Expired
Address :
3427 DEER PARK DR, STE A
STOCKTON CA 95219
SAN JOAQUIN 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: DELTA ENDODONTICS LEVY STEFANAC DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 913 Primary Status: Cancelled
Address :
4661 PRECISSI LANE
STOCKTON CA 95207
SAN JOAQUIN COUNTY
