Dental Board of California
Licensing details for: 49520
Name: FULFORD, REGINALD LAMAR
License Type: Dentist
Primary Status: Current - Active
Address of Record
208 Classic Ct
WEST SACRAMENTO CA 95605-2567
SACRAMENTO county
Map
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: REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81174 Primary Status: Expired
Address :
1791 OAK AVE #C
DAVIS CA 95616
YOLO 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: REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81055 Primary Status: Expired
Address :
432 E. CALAVERAS BLVD
MILPITAS CA 95035
SANTA CLARA 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: REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81012 Primary Status: Expired
Address :
140 ROSEVILLE PARKWAY., SUITE 150
ROSEVILLE CA 95661
PLACER 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: REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81013 Primary Status: Expired
Address :
2075 DIAMOND BLVD., SUITE H110
CONCORD CA 94520
CONTRA COSTA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MILPITAS ORTHODONTICS - DR. REGINALD FULFORD DENTAL PRACTICE OF REEVES, D.D.S AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17035 Primary Status: Expired
Address :
432 E. CALAVERAS BLVD
MILPITAS CA 95035
SANTA CLARA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KIDS CARE DENTAL WEST ROSEVILLE - DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16707 Primary Status: Current - Active
Address :
140 ROSEVILLE PARKWAY., SUITE 150
ROSEVILLE CA 95661
PLACER COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KIDS CARE DENTIST COLLECTIVE - DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16745 Primary Status: Expired
Address :
2201 BALFOUR ROAD, SUITE A
BRENTWOOD CA 94513
CONTRA COSTA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KIDS CARE DENTIST COLLECTIVE - DAVIS DR. REGINALD FULFORD DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S.. A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17180 Primary Status: Expired
Address :
1791 OAK AVE #C
DAVIS CA 95616
YOLO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KIDS CARE DENTAL CONCORD - DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16708 Primary Status: Cancelled
Address :
2075 DIAMOND BLVD., SUITE H-110
CONCORD CA 94520
CONTRA COSTA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KIDS CARE DENTIST COLLECTIVE - DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16744 Primary Status: Cancelled
Address :
2201 BALFOUR ROAD, SUITE D
BRENTWOOD CA 94513
CONTRA COSTA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FULFORD ORTHODONTICS DENTAL PRACTICE, REGINALD L FULFORD,
License/Registration Type: Fictitious Name Permit
License Number: 4744 Primary Status: Cancelled
Address :
511 EL CERRITO PLAZA
EL CERRITO CA 94530
CONTRA COSTA 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: KIDS CARE DENTAL STOCKTON-DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15317 Primary Status: Current - Active
Address :
3499 BROOKSIDE RD., STE. E
STOCKTON CA 95219
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: KIDS CARE DENTAL WEST ROSEVILLE - DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16707 Primary Status: Current - Active
Address :
140 ROSEVILLE PARKWAY., SUITE 150
ROSEVILLE CA 95661
PLACER 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: MILPITAS ORTHODONTICS - DR. REGINALD FULFORD DENTAL PRACTICE OF REEVES, D.D.S AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17035 Primary Status: Expired
Address :
432 E. CALAVERAS BLVD
MILPITAS CA 95035
SANTA CLARA 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: KIDS CARE DENTIST COLLECTIVE - DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16744 Primary Status: Cancelled
Address :
2201 BALFOUR ROAD, SUITE D
BRENTWOOD CA 94513
CONTRA COSTA 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: KIDS CARE DENTAL CONCORD - DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16708 Primary Status: Cancelled
Address :
2075 DIAMOND BLVD., SUITE H-110
CONCORD CA 94520
CONTRA COSTA 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: KIDS CARE DENTIST COLLECTIVE - DAVIS DR. REGINALD FULFORD DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S.. A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17180 Primary Status: Expired
Address :
1791 OAK AVE #C
DAVIS CA 95616
YOLO 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: FULFORD ORTHODONTICS DENTAL PRACTICE, REGINALD L FULFORD,
License/Registration Type: Fictitious Name Permit
License Number: 4744 Primary Status: Cancelled
Address :
511 EL CERRITO PLAZA
EL CERRITO CA 94530
CONTRA COSTA 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: KIDS CARE DENTIST COLLECTIVE - DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16745 Primary Status: Expired
Address :
2201 BALFOUR ROAD, SUITE A
BRENTWOOD CA 94513
CONTRA COSTA COUNTY
