Dental Board of California
Licensing details for: 61400
Name: VEST, BRYANT JEFFERSON
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1259 PLEASANT GROVE BLVD.
SUITE 100
ROSEVILLE CA 95747
PLACER 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: BRYANT VEST DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11509 Primary Status: Current - Active
Address :
1259 PLEASANT GROVE BLVD., SUITE 100
ROSEVILLE CA 95678
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: PAVILIONS DENTAL GROUP, BRYANT VEST DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 11456 Primary Status: Current - Active
Address :
1259 PLEASANT GROVE BLVD STE 100
ROSEVILLE CA 95747
PLACER COUNTY
