Dental Board of California
Licensing details for: 2677
Name: RIVIERA DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
525 E MICHELTORENA SUITE 300
SANTA BARBARA CA 93103
SANTA BARBARA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KUTCHER, ALBERT CHARLES
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SCHAEFFER, JAMES PAUL
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, TERRI TRAM ANH
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BEACH, CHARLES STUART
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: NGUYEN, TERRI TRAM ANH
License/Registration Type: Dentist License
License Number: 43213 Primary Status: Current - Active
Address :
26877 Sierra Hwy
NEWHALL CA 91321-2274
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: SCHAEFFER, JAMES PAUL
License/Registration Type: Dentist License
License Number: 43855 Primary Status: Current - Active
Address :
2780 State St Ste 6
SANTA BARBARA CA 93105-5522
SANTA BARBARA COUNTY
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: BEACH, CHARLES STUART
License/Registration Type: Dentist License
License Number: 24655 Primary Status: Cancelled
Address :
651 I STREET
SACRAMENTO CA 95814
SACRAMENTO COUNTY
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: KUTCHER, ALBERT CHARLES
License/Registration Type: Dentist License
License Number: 24566 Primary Status: Cancelled
Address :
PO BOX 4876
HELENA MT 59604
LEWIS AND CLARK COUNTY
