Dental Board of California
Licensing details for: 17097
Name: YUBA CITY SMILES DENTAL OFFICE OF DR TIMOTHY C. POLUMBO
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Sole Owner
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: POLUMBO, TIMOTHY C
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: POLUMBO, TIMOTHY C
License/Registration Type: Dentist License
License Number: 100687 Primary Status: Current - Active
Address :
415 ALTURAS ST STE 1
YUBA CITY CA 95991
SUTTER COUNTY
