Dental Board of California
Licensing details for: 11382
Name: ESTHETIC DENTISTRY OF EL DORADO HILLS, DENTAL GROUP OF JEFFREY LE
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: ESTHETIC DENTISTRY OF EL DORADO HILLS
Address of Record
4944 WINDPLAY DR
EL DORADO HILLS CA 95762-9688
EL DORADO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LEE, JEFFEREY SZEAN
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: LEE, JEFFEREY SZEAN
License/Registration Type: Dentist License
License Number: 48946 Primary Status: Current - Active
Address Not Disclosed
