Dental Board of California
Licensing details for: 15522
Name: ASPEN DENTAL PRACTICE OF JUDGE DENTAL PC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: JUDGE, GURSIMRAT KAUR
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: JUDGE, GURSIMRAT KAUR
License/Registration Type: Dentist License
License Number: 100904 Primary Status: Current - Active
Address :
1370 Holiday Ln Ste D
FAIRFIELD CA 94534-3426
SOLANO COUNTY
