Dental Board of California
Licensing details for: 1692
Name: COUNTRY CLUB DENTAL CARE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
OFFICE OF DAVID M SPECTOR DDS INC
2237 PARK TOWNE CIRCLE STE 3
SACRAMENTO CA 95825
SACRAMENTO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SPECTOR, DAVID MICHAEL
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: SPECTOR, DAVID MICHAEL
License/Registration Type: Dentist License
License Number: 33153 Primary Status: Current - Active
Address :
500 Cohasset Rd
Suite #15
CHICO CA 95926-2260
BUTTE COUNTY
