Dental Board of California
Licensing details for: 1484
Name: GEORGETOWN DENTAL OFFICE, MARSHA L HENRY DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: GEORGETOWN DENTAL OFFICE, MARSHA L. HENRY, DDS
Address of Record
NO. 4 GROWLERSBURG VILLAGE
GEORGETOWN CA 95634
EL DORADO county
Map
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: CARRINGTON, ADRIAN JEROME
License/Registration Type: Dentist License
License Number: 38970 Primary Status: Current - Active
Address :
930 Florin Rd
SUITE 100
SACRAMENTO CA 95831-5001
SACRAMENTO 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: HENRY, MARSHA LYNNETTE
License/Registration Type: Dentist License
License Number: 40607 Primary Status: Current - Active
Address :
930 Florin Rd
SUITE 100
SACRAMENTO CA 95831-5001
SACRAMENTO COUNTY
