Dental Board of California
Licensing details for: 347
Name: SUE, JEFFREY VINCENT
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
7916 PEBBLE BEACH DR
STE 101
CITRUS HEIGHTS CA 95610
SACRAMENTO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LITTLE MARVELS PEDIATRIC DENTISTRY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 19370 Primary Status: Current - Active
Address :
1851 IRON POINT ROAD STE #200
FOLSOM CA 95630
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: SUE, JEFFREY VINCENT
License/Registration Type: Dentist License
License Number: 47805 Primary Status: Current - Active
Address :
1851 Iron Point Rd Ste 200
1057 Huntly Dr
FOLSOM CA 95630-8853
SACRAMENTO COUNTY
