Dental Board of California
Licensing details for: 2807
Name: SANDERSON, VANESSA ANDRADE
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: SAN DERSON, VANESSA ANDRADE
Address of Record
2014 W Ave K
LANCASTER CA 93536-5229
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE DENTAL GROUP, SANDERSON & ZARGARIAN DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 16825 Primary Status: Current - Active
Address :
43731 15TH STREET WEST STE C
LANCASTER CA 93534
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE DENTAL GROUP OF SANDERSON & ZARGARIAN DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 16826 Primary Status: Current - Active
Address :
2014 WEST AVE K
LANCASTER CA 93536
LOS ANGELES COUNTY
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: SANDERSON, VANESSA ANDRADE
License/Registration Type: Dentist License
License Number: 56596 Primary Status: Current - Active
Address :
2014 W Avenue K
LANCASTER CA 93536-5229
