Dental Board of California
Licensing details for: 2193
Name: WAKEFIELD, ALAN TODD
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
6 CAPTAIN DRIVE #E234
EMERYVILLE CA 94608
ALAMEDA county
Map
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: WAKEFIELD, ALAN TODD
License/Registration Type: Dentist License
License Number: 41146 Primary Status: Current - Active
Address :
1821 Concord Ave
CONCORD CA 94520-2348
CONTRA COSTA COUNTY
