Dental Board of California
Licensing details for: 3859
Name: DELTA ENDODONTICS DENTAL OFFICE,
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Partnership
Address of Record
3427 DEER PARK DR, STE A
STOCKTON CA 95219
SAN JOAQUIN 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: NERI, DORENE MARIE
License/Registration Type: Dentist License
License Number: 42938 Primary Status: Current - Active
Address :
3427 DEER PARK DR STE A
STOCKTON CA 95219
SAN JOAQUIN 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: STEFANAC, MATTHEW R
License/Registration Type: Dentist License
License Number: 26789 Primary Status: Cancelled
Address :
PO Box 11642
ZEPHYR COVE NV 89448-3642
DOUGLAS 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: MARWEG, WILLIAM JAMES
License/Registration Type: Dentist License
License Number: 37583 Primary Status: Current - Active
Address :
585 Grande Rio Dr
WOODBRIDGE CA 95258-9214
SAN JOAQUIN COUNTY
