Dental Board of California
Licensing details for: 16316
Name: KIDS CARE DENTAL LODI - DENTAL PRACTICE OF REEVES, D.D.S., AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: KIDS CARE DENTAL & ORTHODONTICS - LODI DENTAL OFFICE OF REEVES, D.D.S., AND LAVALLEY, D.D.S., A DENTAL CORPORATION
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: REEVES, AARON PAUL
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: REEVES, AARON PAUL
License/Registration Type: Dentist License
License Number: 47785 Primary Status: Current - Active
Address :
2277 Fair Oaks Blvd
Ste 330
SACRAMENTO CA 95825
SACRAMENTO COUNTY
