Dental Board of California
Licensing details for: 4436
Name: PARK MARINA DENTAL OFFICE, ROBERT F GOSIN, DDS, INC
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Address of Record
2301 PARK MARINA DR, #27
REDDING CA 96001
SHASTA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GOSIN, ROBERT FABIAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GOSIN, ROBERT F
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: GOSIN, ROBERT FABIAN
License/Registration Type: Dentist License
License Number: 33585 Primary Status: Current - Active
Address :
358 Stinson Loop
REDDING CA 96003-5236
SHASTA COUNTY
