Dental Board of California
Licensing details for: 15773
Name: COLOMA DENTAL OFFICE OF RUSLAN ZMIEVSCHI, 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: ZMIEVSCHI, RUSLAN
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: ZMIEVSCHI, RUSLAN
License/Registration Type: Dentist License
License Number: 103074 Primary Status: Current - Active
Address :
874 Plum Dr
PILOT HILL CA 95664-9261
EL DORADO COUNTY
