Dental Board of California
Licensing details for: 31805
Name: JA, ALEXANDER
License Type: Dentist
Primary Status: Current - Active
Address of Record
2243 Van Ness Ave Ste 101
SAN FRANCISCO CA 94109-2504
SAN FRANCISCO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VAN NESS DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1040 Primary Status: Expired
Address :
CHARLES NIP DDS, INC.
2243 VAN NESS AVE STE 101
SAN FRANCISCO CA 94109
SAN FRANCISCO 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: VAN NESS DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1040 Primary Status: Expired
Address :
CHARLES NIP DDS, INC.
2243 VAN NESS AVE STE 101
SAN FRANCISCO CA 94109
SAN FRANCISCO COUNTY
