Dental Board of California
Licensing details for: 18894
Name: SEA GLASS ORTHODONTICS A DR. SOPHIE LOGAN DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
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: LOGAN, SOPHIE ELIZABETH
License/Registration Type: Dentist License
License Number: 106072 Primary Status: Current - Active
Address :
824 Mission St
SANTA CRUZ CA 95060-3681
SANTA CRUZ COUNTY
