Dental Board of California
Licensing details for: 80586
Name: DEVAN DALLA, DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
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: DALLA, DEVAN
License/Registration Type: Dentist License
License Number: 63130 Primary Status: Current - Active
Address :
3108 E PINTAIL WAY
ELK GROVE CA 95757
SACRAMENTO COUNTY
