Dental Board of California
Licensing details for: 65172
Name: STEPHENS, HEATHER LYNN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Residency
Secondary Status: Licensure by Residency
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CLAYTON VALLEY ORTHODONTICS DENTAL OFFICE OF STEPHENS DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 16190 Primary Status: Current - Active
Address :
1494 WASHINGTON BLVD., SUITE D
CONCORD CA 94521
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: CLAYTON VALLEY ORTHODONTICS DENTAL OFFICE OF STEPHENS DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 16190 Primary Status: Current - Active
Address :
1494 WASHINGTON BLVD., SUITE D
CONCORD CA 94521
CONTRA COSTA COUNTY
