Dental Board of California
Licensing details for: 82403
Name: SERGIO VICUNA, DDS
License Type: Additional Office Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: South River Dental Group, Inc.
Address of Record
2455 Jefferson Blvd, Ste 130
WEST SACRAMENTO CA 95691
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: VICUNA, SERGIO
License/Registration Type: Dentist License
License Number: 53129 Primary Status: Current - Active
Address :
5004 S Land Park Dr
SACRAMENTO CA 95822-2504
SACRAMENTO COUNTY
