Dental Board of California
Licensing details for: 5187
Name: SCRIPPS DENTAL GROUP, KIRK E TINER, DDS AND
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
79 SCRIPPS DR, STE 204
SACRAMENTO CA 95825
SACRAMENTO 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: HERBERT, JENNIFER
License/Registration Type: Dentist License
License Number: 46821 Primary Status: Current - Active
Address :
3900 San Fernando Rd
#1017A
GLENDALE CA 91204-2738
LOS ANGELES 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: TINER, KIRK ELLIOTT
License/Registration Type: Dentist License
License Number: 38376 Primary Status: Cancelled
Address :
3381 W MAIN ST #3
ST CHARLES IL 60175
KANE COUNTY
