Dental Board of California
Licensing details for: 507
Name: MILPITAS DNT PRT M VEHAWN M KOWITZ
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
1213 E CALAVERAS BLVD
MILPITAS CA 95035
SANTA CLARA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VEHAWN, MICHAEL T
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: VEHAWN, MICHAEL T
License/Registration Type: Dentist License
License Number: 26717 Primary Status: Expired
Address :
2732 LUCENA DRIVE
SAN JOSE CA 95132
SANTA CLARA COUNTY
