Dental Board of California
Licensing details for: 15004
Name: SMILE MAKERS DENTAL CARE DENTAL PRACTICE OF S. GAVIN EWING, DDS, 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: EWING, SCOTT GAVIN
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: EWING, SCOTT GAVIN
License/Registration Type: Dentist License
License Number: 64781 Primary Status: Current - Active
Address :
901 Sunvalley Blvd Ste 240
CONCORD CA 94520-5817
CONTRA COSTA COUNTY
