Dental Board of California
Licensing details for: 125
Name: MACKENZIE, GEORGE DAVID
License Type: Conscious Sedation
Primary Status: Cancelled
Address of Record
20265 LAKE CHABOT ROAD
CASTRO VALLEY CA 94546
ALAMEDA county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: MACKENZIE, GEORGE DAVID
License/Registration Type: Dentist License
License Number: 30605 Primary Status: Expired
Address :
3215 Gold Ct
LAFAYETTE CA 94549-5405
CONTRA COSTA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CREATIVE DIMENSIONS IN DENTISTRY
License/Registration Type: Fictitious Name Permit
License Number: 837 Primary Status: Current - Active
Address :
20265 LAKE CHABOT ROAD
CASTRO VALLEY CA 94546
ALAMEDA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CREATIVE DIMENSIONS IN DENTISTRY, ERICKSON, SANTUCCI,
License/Registration Type: Fictitious Name Permit
License Number: 1455 Primary Status: Expired
Address :
345 ESTUDILLO AVENUE
SAN LEANDRO CA 94578
ALAMEDA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CREATIVE DIMENSIONS IN DENTISTRY DENTAL GROUP ERICKSON,DDS ET AL
License/Registration Type: Fictitious Name Permit
License Number: 885 Primary Status: Cancelled
Address :
15051 HESPERIAN BLVD
SAN LEANDRO CA 94578
ALAMEDA COUNTY
