Dental Board of California
Licensing details for: 33473
Name: IVERSON, THOMAS ALLEN
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Reduced Renewal Fee
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: KALIKA - IVERSON, DDS INC
License/Registration Type: Additional Office Permit
License Number: 11212 Primary Status: Cancelled
Address :
1671 EAST MONTE VISTA AVENUE #200
VACAVILLE CA 95688
SOLANO 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: THOMAS A IVERSON, DDS
License/Registration Type: Additional Office Permit
License Number: 4432 Primary Status: Cancelled
Address :
265 N VILLA AVENUE
WILLOWS CA 95988
GLENN 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: KALIKA - IVERSON, DDS INC
License/Registration Type: Additional Office Permit
License Number: 11213 Primary Status: Cancelled
Address :
101 RALEY BLVD #204
CHICO CA 95928
BUTTE 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: IVERSON-VOTA A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79711 Primary Status: Cancelled
Address :
871 GRAY AVE
YUBA CITY CA 95991
SUTTER 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: IVERSON-VOTA, A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11416 Primary Status: Cancelled
Address :
836 W. WOOD ST
WILLOWS CA 95988
GLENN 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: KALIKA & IVERSON D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 11249 Primary Status: Cancelled
Address :
101 RALEY BLVD #204
CHICO CA 95928
BUTTE 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: IVERSON-VOTA A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79705 Primary Status: Cancelled
Address :
101 RALEY BLVD STE 204
CHICO CA 95928
BUTTE 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: THOMAS ALLEN IVERSON DDS
License/Registration Type: Additional Office Permit
License Number: 4855 Primary Status: Cancelled
Address :
360 B FIFTH STREET
COLUSA CA 95932
COLUSA 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: SKYWAY PEDIATRIC DENTISTRY, DENTAL OFFICE OF KALIKA & IVERSON, D.
License/Registration Type: Fictitious Name Permit
License Number: 10869 Primary Status: Cancelled
Address :
101 RALEY BLVD SUITE 204
CHICO CA 95928
BUTTE COUNTY
