Dental Board of California
Licensing details for: 6886
Name: CENTRAL COAST PEDIATRIC DENTAL GROUP, DR'S SANGER, STEWART, CHIAN
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Previous Names: CENTRAL COAST PEDIATRIC DENTAL GROUP
Address of Record
1717 FREMONT BLVD.
SEASIDE CA 93955
MONTEREY 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: SANGER, ROGER GREGORY
License/Registration Type: Dentist License
License Number: 21200 Primary Status: Cancelled
Address Not Disclosed
