Dental Board of California
Licensing details for: 54255
Name: GAMACHE, ANDREW D
License Type: Dentist
Primary Status: Current - Active
Address of Record
306 WALNUT AVE
STE 31
SAN DIEGO CA 92103
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FRESH DENTAL, PRACTICE OF ANDREW D. GAMACHE, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 10545 Primary Status: Current - Active
Address :
306 WALNUT AVENUE, STE. 31
SAN DIEGO CA 92103
SAN DIEGO 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: FRESH DENTAL, PRACTICE OF ANDREW D. GAMACHE, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 10545 Primary Status: Current - Active
Address :
306 WALNUT AVENUE, STE. 31
SAN DIEGO CA 92103
SAN DIEGO 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: GAMACHE, ANDREW D
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3266 Primary Status: Current - Active
Address :
306 Walnut Ave
Suite 31
SAN DIEGO CA 92103-4978
SAN DIEGO COUNTY
