Dental Board of California
Licensing details for: 16190
Name: CLAYTON VALLEY ORTHODONTICS DENTAL OFFICE OF STEPHENS DDS 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: STEPHENS, HEATHER LYNN
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: STEPHENS, HEATHER LYNN
License/Registration Type: Dentist License
License Number: 65172 Primary Status: Current - Active
Address :
1494 WASHINGTON BLVD #D
CONCORD CA 94521
CONTRA COSTA COUNTY
