Dental Board of California
Licensing details for: 1352
Name: THE SPECIALTY DENTAL CARE GROUP, PEDER H. HAMILTON, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
15000 LOS GATOS BLVD
LOS GATOS CA 95032
SANTA CLARA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LOITZ, GREG ALLEN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HAMILTON, PEDER HUDSON
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KRVAVICA, ROBERT E
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KASHANI, HOOSHANG GHAMSARIAN
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: HAMILTON, PEDER HUDSON
License/Registration Type: Dentist License
License Number: 24668 Primary Status: Voluntary Surrendered
Address :
P O BOX 111004
CAMPBELL CA 95011
SANTA CLARA 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: KASHANI, HOOSHANG GHAMSARIAN
License/Registration Type: Dentist License
License Number: 30386 Primary Status: Current - Active
Address :
TWO EMBARCADERO CENTER
SAN FRANCISCO CA 94111
SAN FRANCISCO 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: KRVAVICA, ROBERT E
License/Registration Type: Dentist License
License Number: 14960 Primary Status: Cancelled
Address :
1191 COLEMAN RD #228
SAN JOSE CA 95120
SANTA CLARA 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: LOITZ, GREG ALLEN
License/Registration Type: Dentist License
License Number: 28354 Primary Status: Cancelled
Address :
33 PALMA AVENUE
LA SELVA BEACH CA 95076-1729
SANTA CRUZ COUNTY
