Dental Board of California
Licensing details for: 60783
Name: SANFORD, KAMILAH ASHONTI
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
3167 Monterey Blvd
OAKLAND CA 94602-3560
ALAMEDA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PINOLE VALLEY ORTHODONTICS, DENTAL PRACTICE OF KAMILAH SANFORD, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 13490 Primary Status: Current - Active
Address :
2830 PINOLE VALLEY RD STE C
PINOLE CA 94564
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: PINOLE VALLEY ORTHODONTICS, DENTAL PRACTICE OF KAMILAH SANFORD, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 13490 Primary Status: Current - Active
Address :
2830 PINOLE VALLEY RD STE C
PINOLE CA 94564
CONTRA COSTA COUNTY
