Dental Board of California
Licensing details for: 5546
Name: MATTHEW R STEFANAC, DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
1816 W KETTLEMAN, STE C
LODI CA 95242
SAN JOAQUIN county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: STEFANAC, MATTHEW R
License/Registration Type: Dentist License
License Number: 26789 Primary Status: Cancelled
Address :
PO Box 11642
ZEPHYR COVE NV 89448-3642
DOUGLAS COUNTY
