
Dental Board of California
Licensing details for: 3401
Name: FOLSOM DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1840 PRAIRIE CITY RD #200
FOLSOM CA 95630
SACRAMENTO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VILDERMAN, YULY
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: VILDERMAN, YULY
License/Registration Type: Dentist License
License Number: 41689 Primary Status: Current - Active
Address :
2233 Post St
Suite 102
SAN FRANCISCO CA 94115-3470
SAN FRANCISCO COUNTY