Dental Board of California
Licensing details for: 15476
Name: A+ DENTAL CARE, A DENTAL OFFICE OF HERMAN DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: COOPER, CHRISTOPHER LEE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SEIDEL, FLAVIANE FERNANDES CHAVES
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HERMAN, TIMOTHY JAMES
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MANALOTO, ABDON BAUTISTA JR
License/Registration Type: Dentist License
License Number: 42934 Primary Status: Current - Active
Address :
1840 Prairie City Road
Suite 200
FOLSOM CA 95630-9579
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DRINGENBERG, KAYLA NGUYEN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MANALOTO, ABDON BAUTISTA JR
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: MANALOTO, ABDON BAUTISTA JR
License/Registration Type: Dentist License
License Number: 42934 Primary Status: Current - Active
Address :
1840 Prairie City Road
Suite 200
FOLSOM CA 95630-9579
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: HERMAN, TIMOTHY JAMES
License/Registration Type: Dentist License
License Number: 36937 Primary Status: Current - Active
Address :
1840 Prairie City Rd
200
FOLSOM CA 95630-9579
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: SEIDEL, FLAVIANE FERNANDES CHAVES
License/Registration Type: Dentist License
License Number: 49636 Primary Status: Current - Active
Address :
945 Orchard Creek Ln
200
LINCOLN CA 95648
PLACER 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: DRINGENBERG, KAYLA NGUYEN
License/Registration Type: Dentist License
License Number: 50170 Primary Status: Current - Active
Address :
1258 COLOMA WAY
ROSEVILLE CA 95661
PLACER 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: COOPER, CHRISTOPHER LEE
License/Registration Type: Dentist License
License Number: 53130 Primary Status: Current - Active
Address :
4300 Live Oak Ln Ste A
ROCKLIN CA 95765-5628
PLACER COUNTY
