License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TRACY CENTER FOR DENTISTRY, A DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 5271 Primary Status: Current - Active
Address :
2643 NAGLEE ROAD
TRACY CA 95304-7317
SAN JOAQUIN 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: TRACY CENTER FOR DENTISTRY, A DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 5271 Primary Status: Current - Active
Address :
2643 NAGLEE ROAD
TRACY CA 95304-7317
SAN JOAQUIN COUNTY
