Dental Board of California
Licensing details for: 62328
Name: JIZE, NICHOLAS RAMZEY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
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: FIRST TOOTH PEDIATRIC DENTAL PRACTICE OF DR. NICHOLAS JIZE
License/Registration Type: Fictitious Name Permit
License Number: 12768 Primary Status: Current - Active
Address :
2775 VIA DE LA VALLE, SUITE 103
DEL MAR CA 92014
SAN DIEGO 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: JIZE, NICHOLAS RAMZEY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2981 Primary Status: Cancelled
Address :
2775 Via De La Valle
Suite 103
DEL MAR CA 92014-1919
SAN DIEGO COUNTY



