Dental Board of California
Licensing details for: 60196
Name: LIN, WINSTON SUZTSE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
9630 Bruceville Rd
STE 102
ELK GROVE CA 95757-5512
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: LIN AND JOHAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81335 Primary Status: Current - Active
Address :
9630 BRUCEVILLE RD SUITE 102
ELK GROVE CA 95757
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MY KID'S DENTIST DENTAL GROUP, LIN AND JOHAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17618 Primary Status: Current - Active
Address :
9630 BRUCEVILLE ROAD., SUITE 102
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: MY KID'S DENTIST DENTAL GROUP, LIN AND JOHAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17618 Primary Status: Current - Active
Address :
9630 BRUCEVILLE ROAD., SUITE 102
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: LIN, WINSTON SUZTSE
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2973 Primary Status: Cancelled
Address :
9630 Bruceville Rd
STE 102
ELK GROVE CA 95757-5512
SACRAMENTO COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: LIN, WINSTON SUZTSE
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 357 Primary Status: Current - Active
Address :
9630 Bruceville Rd
102
ELK GROVE CA 95757-5512
SACRAMENTO COUNTY
