Dental Board of California
Licensing details for: 57368
Name: WINSLOW, JERON PHILLIP
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
4000 Truxel Rd Ste 2
SACRAMENTO CA 95834-3726
SACRAMENTO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE GROVE FAMILY DENTAL DENTAL OFFICE OF DR. JERON WINSLOW
License/Registration Type: Fictitious Name Permit
License Number: 15512 Primary Status: Expired
Address :
10043 BRUCEVILLE ROAD, UNIT 160
ELK GROVE CA 95757
SACRAMENTO 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: THE GROVE FAMILY DENTAL DENTAL OFFICE OF DR. JERON WINSLOW
License/Registration Type: Fictitious Name Permit
License Number: 15512 Primary Status: Expired
Address :
10043 BRUCEVILLE ROAD, UNIT 160
ELK GROVE CA 95757
SACRAMENTO 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: WINSLOW, JERON PHILLIP
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2674 Primary Status: Current - Active
Address :
4000 Truxel Rd
STE. 2
SACRAMENTO CA 95834-3726
SACRAMENTO COUNTY
