Dental Board of California
Licensing details for: 2764
Name: SAN TOMAS DENTAL GROUP OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
484 W HAMILTON AVENUE
CAMPBELL CA 95008
SANTA CLARA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MACHADO, BARTON LEE JR
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MACHADO, BARTON LEE
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: MACHADO, BARTON LEE JR
License/Registration Type: Dentist License
License Number: 27451 Primary Status: Current - Active
Address :
591 Watt Ave
Suite 100
SACRAMENTO CA 95864-5027
SACRAMENTO COUNTY
