Dental Board of California
Licensing details for: 17605
Name: ORAL HEALTH CARE OF NORTHERN CALIFORNIA, DENTAL PRACTICE OF KIRKLAND DDS INC
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KIRKLAND, MARK D
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: KIRKLAND, MARK D
License/Registration Type: Dentist License
License Number: 32106 Primary Status: Current - Inactive
Address :
700 Parnassus Ave
SAN FRANCISCO CA 94122-2629
SAN FRANCISCO COUNTY
