Dental Board of California
Licensing details for: 5563
Name: CENTRAL COAST PEDIATRIC DENTAL GROUP, DR'S.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
945 BLANCO CIRCLE, STE D
SALINAS CA 93901
MONTEREY county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MORRIS, PAUL JOSEPH
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: STEWART, RAY EDWARD
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SANGER, ROGER GREGORY
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHIANG, PETER C J
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MURILLO, MARIELENA
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SAISHO, KENJI BENNET
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: MORRIS, PAUL JOSEPH
License/Registration Type: Dentist License
License Number: 45735 Primary Status: Current - Active
Address :
13100 Corte Diego
SALINAS CA 93908-9419
MONTEREY 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: MURILLO, MARIELENA
License/Registration Type: Dentist License
License Number: 44424 Primary Status: Current - Active
Address :
631 E ALVIN DR STE C
SALINAS CA 93906
MONTEREY 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: STEWART, RAY EDWARD
License/Registration Type: Dentist License
License Number: 31535 Primary Status: Current - Active
Address :
1840 3RD STREET
SAN FRANCISCO CA 94143
SAN FRANCISCO 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: SAISHO, KENJI BENNET
License/Registration Type: Dentist License
License Number: 51647 Primary Status: Current - Active
Address :
633 ALVIN DRIVE #B
SALINAS CA 93906
MONTEREY 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: SANGER, ROGER GREGORY
License/Registration Type: Dentist License
License Number: 21200 Primary Status: Cancelled
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: CHIANG, PETER C J
License/Registration Type: Dentist License
License Number: 37400 Primary Status: Current - Active
Address :
631 E ALVIN DRIVE
SUITE E-2
SALINAS CA 93906
MONTEREY COUNTY
