Dental Board of California
Licensing details for: 13490
Name: PINOLE VALLEY ORTHODONTICS, DENTAL PRACTICE OF KAMILAH SANFORD, D.D.S., INC.
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: SANFORD, KAMILAH ASHONTI
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: SANFORD, KAMILAH ASHONTI
License/Registration Type: Dentist License
License Number: 60783 Primary Status: Current - Active
Address :
3167 Monterey Blvd
OAKLAND CA 94602-3560
ALAMEDA COUNTY
