Dental Board of California
Licensing details for: 12768
Name: FIRST TOOTH PEDIATRIC DENTAL PRACTICE OF DR. NICHOLAS JIZE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: JIZE, NICHOLAS RAMZEY
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: JIZE, NICHOLAS RAMZEY
License/Registration Type: Dentist License
License Number: 62328 Primary Status: Current - Active
Address :
2775 Via De La Valle
Suite 103
DEL MAR CA 92014-1919
SAN DIEGO COUNTY
