Dental Board of California
Licensing details for: 3214
Name: TWIN PINES DENTAL, THE DENTAL PRACTICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
1109 KENNEDY PLACE SUITE 4
DAVIS CA 95616
YOLO county
Map
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: MENICOU, NIKOS MENICOS
License/Registration Type: Dentist License
License Number: 44035 Primary Status: Current - Active
Address :
1109 KENNEDY PLACE, STE. 4
DAVIS CA 95616
YOLO COUNTY
