Dental Board of California
Licensing details for: 4834
Name: THE DENTAL CENTER @ SEARS, DENTAL PRACTICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
1001 SUNVALLEY BLVD
CONCORD CA 94520
CONTRA COSTA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KOERBER, GEORGE FREDERICK
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KOERBER, GEORGE 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: KOERBER, GEORGE FREDERICK
License/Registration Type: Dentist License
License Number: 25410 Primary Status: Expired
Address :
1001 SUNVALLEY BLVD
CONCORD CA 94520
CONTRA COSTA COUNTY
