Dental Board of California
Licensing details for: 81013
Name: REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Expired
Organization Classification: Corporation
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: FULFORD, REGINALD LAMAR
License/Registration Type: Dentist License
License Number: 49520 Primary Status: Current - Active
Address :
208 Classic Ct
WEST SACRAMENTO CA 95605-2567
SACRAMENTO COUNTY
