Dental Board of California
Licensing details for: 1539
Name: HAMMOND & SMITH MISSION VALLEY ORAL
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: HAMMOND & SMITH MISSION VALLEY_ORAL
Address of Record
2878 CAMINO DEL RIO SOUTH, STE 210
SAN DIEGO CA 92108
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HAMMOND, FRED W
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SMITH, TIMOTHY S
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SMITH, TIMOTHY SHELBURNE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HAMMOND, FREDERICK WHITE
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: SMITH, TIMOTHY SHELBURNE
License/Registration Type: Dentist License
License Number: 23792 Primary Status: Current - Active
Address :
2878 CAMINO DEL RIO SOUTH
SUITE 210
SAN DIEGO CA 92108
SAN DIEGO 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: HAMMOND, FREDERICK WHITE
License/Registration Type: Dentist License
License Number: 31922 Primary Status: Current - Active
Address :
2878 CAMINO DEL RIO SOUTH #210
SAN DIEGO CA 92108
SAN DIEGO COUNTY
