Dental Board of California
Licensing details for: 13373
Name: NAPA VALLEY DENTAL GROUP DEVAN DALLA DDS INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
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: DALLA, DEVAN
License/Registration Type: Dentist License
License Number: 63130 Primary Status: Current - Active
Address :
3108 E PINTAIL WAY
ELK GROVE CA 95757
SACRAMENTO COUNTY
