Dental Board of California
Licensing details for: 40596
Name: GIBSON, DAVID WAYNE
License Type: Dentist
Primary Status: Current - Active
Address of Record
1171 MURRIETA BLVD
STE 101
LIVERMORE CA 94990
ALAMEDA county
Map
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: LIVERMORE DENTAL CARE DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 19435 Primary Status: Current - Active
Address :
1171 MURRIETA BLVD
LIVERMORE CA 94550
ALAMEDA COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: GIBSON, DAVID WAYNE
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2839 Primary Status: Current - Active
Address :
1171 MURRIETA BLVD
STE 101
LIVERMORE CA 94550
ALAMEDA COUNTY
