Dental Board of California
Licensing details for: 8933
Name: NICHOLSON PROFESSIONAL DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
985 S. SANTA FE AVE.
STE. 5
VISTA CA 92083
SAN DIEGO 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: NICHOLSON, CHARLES SIMMS III
License/Registration Type: Dentist License
License Number: 20425 Primary Status: Expired
Address :
236 Jamacha Rd
101
EL CAJON CA 92019-2366
SAN DIEGO COUNTY
