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: YEE, DEXTER K
License/Registration Type: Dentist License
License Number: 101191 Primary Status: Current - Active
Address :
6522 Lonetree Blvd
ROCKLIN CA 95765-5874
