Dental Board of California
Licensing details for: 10869
Name: SKYWAY PEDIATRIC DENTISTRY, DENTAL OFFICE OF KALIKA & IVERSON, D.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: SKYWAY PEDIATRIC DENTISTRY
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KALIKA, YAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: IVERSON, THOMAS ALLEN
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: KALIKA, YAN
License/Registration Type: Dentist License
License Number: 45886 Primary Status: Current - Active
Address :
3075 Beacon Blvd
WEST SACRAMENTO CA 95691-3462
SACRAMENTO COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: IVERSON, THOMAS ALLEN
License/Registration Type: Dentist License
License Number: 33473 Primary Status: Current - Active
Address :
2 Main St
WOODLAND CA 95695-3124
YOLO COUNTY
