Dental Board of California
Licensing details for: 47805
Name: SUE, JEFFREY VINCENT
License Type: Dentist
Primary Status: Current - Active
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LITTLE MARVELS PEDIATRIC DENTISTRY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 19370 Primary Status: Current - Active
Address :
1851 IRON POINT ROAD STE #200
FOLSOM CA 95630
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: LITTLE MARVELS PEDIATRIC DENTISTRY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 19370 Primary Status: Current - Active
Address :
1851 IRON POINT ROAD STE #200
FOLSOM CA 95630
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: SUE, JEFFREY VINCENT
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 347 Primary Status: Cancelled
Address :
7916 PEBBLE BEACH DR
STE 101
CITRUS HEIGHTS CA 95610
SACRAMENTO COUNTY
