Dental Board of California
Licensing details for: 2165
Name: DR SUMABAT'S VINEYARD FAMILY DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
RAMON SUMABAT, DDS
285 S. PALM CANYON DRIVE, SUITE D-7
PALM SPRINGS CA 92262
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SUMABAT, RAMON RICHARD
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: SUMABAT, RAMON RICARDO
License/Registration Type: Dentist License
License Number: 42426 Primary Status: Current - Active
Address :
285 S Palm Canyon Dr
SUITE D-7
PALM SPRINGS CA 92262-6355
RIVERSIDE COUNTY
