Dental Board of California
Licensing details for: 6521
Name: WACKFORD DENTAL CENTER, DENTAL OFFICE OF ELSEMARY & SALEM DENTAL
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: WACKFORD DENTAL CORPORATION
Address of Record
9045 BRUCEVILLE ROAD
ELK GROVE CA 95758
SACRAMENTO county
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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: ELSEMARY, NAGY RAMADAN A
License/Registration Type: Dentist License
License Number: 47882 Primary Status: Current - Active
Address :
7310 Cordially Way
ELK GROVE CA 95757-6219
SACRAMENTO COUNTY



