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: COUNTRY CLUB DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 1692 Primary Status: Cancelled
Address :
OFFICE OF DAVID M SPECTOR DDS INC
2237 PARK TOWNE CIRCLE STE 3
SACRAMENTO CA 95825
SACRAMENTO COUNTY
