Dental Board of California
Licensing details for: 3076
Name: REDFORD, MARK WILLIAM
License Type: Oral Conscious Sedation
Primary Status: Current - Active
Specialty: Adult
Address of Record
79 Scripps Dr Ste 204
SACRAMENTO CA 95825-6208
SACRAMENTO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: REDFORD DENTAL PRACTICE, MARK W. REDFORD, DMD, INC.
License/Registration Type: Fictitious Name Permit
License Number: 10565 Primary Status: Current - Active
Address :
6246 FAIR OAKS BOULEVARD
CARMICHAEL CA 95608
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: REDFORD SMILES DENTAL GROUP, MARK REDFORD, D.M.D.
License/Registration Type: Fictitious Name Permit
License Number: 14137 Primary Status: Current - Active
Address :
79 SCRIPPS DR STE 204
SACRAMENTO CA 95825
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PRECISION SMILES DENTAL GROUP REDFORD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13614 Primary Status: Cancelled
Address :
8211 SIERRA COLLEGE BLVD STE 404
ROSEVILLE CA 95661
PLACER COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PRECISION SMILES DENTAL GROUP REDFORD AND DAVEY CORP.
License/Registration Type: Fictitious Name Permit
License Number: 12992 Primary Status: Cancelled
Address :
8211 SIERRA COLLEGE BLVD, SUITE 404
ROSEVILLE CA 95661
PLACER 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: REDFORD, MARK WILLIAM
License/Registration Type: Dentist License
License Number: 60371 Primary Status: Current - Active
Address :
79 Scripps Dr Ste 204
SACRAMENTO CA 95825-6208
SACRAMENTO COUNTY
