Dental Board of California
Licensing details for: 41146
Name: WAKEFIELD, ALAN TODD
License Type: Dentist
Primary Status: Current - Active
Address of Record
1821 Concord Ave
CONCORD CA 94520-2348
CONTRA COSTA county
Map
License Relationships
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: WAKEFIELD, ALAN TODD
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2193 Primary Status: Cancelled
Address :
6 CAPTAIN DRIVE #E234
EMERYVILLE CA 94608
ALAMEDA COUNTY
