Dental Board of California
Licensing details for: 3878
Name: REDLANDS DENTAL GROUP, JACKSON DENTAL CORP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
422 Orange St
REDLANDS CA 92374-3206
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: JACKSON, TANISHA A
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: JACKSON, TANISHA ANJANETTE
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: JACKSON, TANISHA ANJANETTE
License/Registration Type: Dentist License
License Number: 47103 Primary Status: Current - Active
Address :
422 Orange St
REDLANDS CA 92374-3206
SAN BERNARDINO COUNTY
