Dental Board of California
Licensing details for: 15512
Name: THE GROVE FAMILY DENTAL DENTAL OFFICE OF DR. JERON WINSLOW
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: HERRERA, BRENDA LEAL
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: WINSLOW, JERON PHILLIP
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: WINSLOW, JERON PHILLIP
License/Registration Type: Dentist License
License Number: 57368 Primary Status: Current - Active
Address :
4000 Truxel Rd Ste 2
SACRAMENTO CA 95834-3726
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: HERRERA, BRENDA LEAL
License/Registration Type: Dentist License
License Number: 57414 Primary Status: Current - Active
Address :
4000 Truxel Rd
#2
SACRAMENTO CA 95834-3726
SACRAMENTO COUNTY
