Dental Board of California
Licensing details for: 62274
Name: LAVALLEY, SAMUEL JOSEPH JR
License Type: Dentist
Primary Status: Cancelled
Method of Application: Licensure by Credential
Address of Record
3211 14TH AVENUE
MENOMINEE MI 49858
MENOMINEE 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: REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11946 Primary Status: Cancelled
Address :
115 SPRECKLES AVENUE
MANTECA CA 95336
SAN JOAQUIN COUNTY
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: REEVES, D.D.S. AND LAVALLEY, D.D.S. A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11854 Primary Status: Cancelled
Address :
196 NUT TREE PARKWAY
STE A
VACAVILLE CA 95687
SOLANO COUNTY
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: REEVES, DDS AND LAVALLEY, DDS A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80028 Primary Status: Cancelled
Address :
1791 OAK AVE #C
DAVIS CA 95616
YOLO COUNTY
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: REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80111 Primary Status: Cancelled
Address :
2277 FAIR OAKS BLVD STE 330
SACRAMENTO CA 95825
SACRAMENTO COUNTY
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: REEVES, DDS AND LAVALLEY, DDS A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79562 Primary Status: Cancelled
Address :
1230 ROSEVILLE PKWY #120
ROSEVILLE CA 95678
PLACER COUNTY
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: REEVES, DDS AND LAVALLEY, DDS A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80027 Primary Status: Cancelled
Address :
7401 LAGUNA BLVD #120
ELK GROVE CA 95758
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: KIDS CARE DENTAL - VACAVILLE DENTAL PRACTICE OF REEVES, DDS, AND
License/Registration Type: Fictitious Name Permit
License Number: 12295 Primary Status: Cancelled
Address :
196 NUT TREE PARKWAY, SUITE A
VACAVILLE CA 95687-3237
SOLANO 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: KIDS CARE DENTAL - LODI DENTAL PRACTICE OF REEVES, DDS AND LAVALL
License/Registration Type: Fictitious Name Permit
License Number: 12294 Primary Status: Cancelled
Address :
1361 SOUTH LOWER SACRAMENTO ROAD
#601
LODI CA 95242-9296
SAN JOAQUIN 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: KIDS CARE DENTAL - MANTECA DENTAL PRACTICE OF REEVES, DDS, AND LA
License/Registration Type: Fictitious Name Permit
License Number: 12296 Primary Status: Cancelled
Address :
115 SPRECKELS AVENUE
LIVINGSTON CA 95334-6000
MERCED 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: KIDS CARE DENTAL-DENTAL PRACTICE OF REEVES, DDS AND LAVALLEY, DDS A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14999 Primary Status: Cancelled
Address :
2277 FAIR OAKS BLVD #330
SACRAMENTO CA 95825
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: KIDS CARE DENTAL-DENTAL PRACTICE OF REEVES, DDS AND LAVALLEY, DDS A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14952 Primary Status: Cancelled
Address :
7401 LAGUNA BLVD #120
ELK GROVE CA 95758
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: KIDS CARE DENTAL - PLEASANTON, DENTAL PRACTICE OF REEVES, DDS AND
License/Registration Type: Fictitious Name Permit
License Number: 12293 Primary Status: Cancelled
Address :
4555 HOPYARD ROAD, SUITE C-19
PLEASANTON CA 94588
ALAMEDA 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: KIDS CARE DENTAL - SACRAMENTO, DENTAL PRACTICE OF REEVES, D.D.S.
License/Registration Type: Fictitious Name Permit
License Number: 11432 Primary Status: Cancelled
Address :
1110 CORPORATE WAY
SUITE 200
SACRAMENTO CA 95831
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: TRUE CARE DENTAL DENTAL PRACTICE OF REEVES, DDS AND LAVALLEY, DDS A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12894 Primary Status: Cancelled
Address :
6300 GARFIELD AVENUE, SUITE 140
SACRAMENTO CA 95841
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: TRUE CARE DENTAL DENTAL PRACTICE OF REEVES, DDS AND LAVALLEY, DDS A DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 12893 Primary Status: Cancelled
Address :
9575 LAGUNA SPRINGS DRIVE
ELK GROVE CA 95758
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: KIDS CARE DENTAL - RANCHO CORDOVA, DENTAL PRACTICE OF REEVES, D.D
License/Registration Type: Fictitious Name Permit
License Number: 11512 Primary Status: Cancelled
Address :
3101 ZINFANDEL DR STE 120
RANCHO CORDOVA CA 95670
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: TRUE CARE DENTAL DENTAL PRACTICE OF REEVES, DDS AND LAVALLEY, DDS A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12809 Primary Status: Cancelled
Address :
3499 BROOKSIDE ROAD, SUITE E
STOCKTON CA 95219-1784
SAN JOAQUIN 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: KIDS CARE DENTAL - TRACY, DENTAL PRACTICE OF REEVES, DDS AND LAVA
License/Registration Type: Fictitious Name Permit
License Number: 12292 Primary Status: Cancelled
Address :
2805 NAGLEE ROAD #150
TRACY CA 95304-7339
SAN JOAQUIN 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: KIDS CARE DENTAL - NATOMAS, DENTAL PRACTICE OF REEVES, D.D.S. AND
License/Registration Type: Fictitious Name Permit
License Number: 11513 Primary Status: Cancelled
Address :
4670 NATOMAS BLVD STE 100
SACRAMENTO CA 95835
SACRAMENTO COUNTY
