Dental Board of California
Licensing details for: 7763
Name: PERSONALIZED DENTAL CARE, ROSEVILLE * LINCOLN DENTAL GROUP, RICHA
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
685 TWELVE BRIDGES DRIVE
SUITE E
LINCOLN CA 95648
PLACER county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HERMAN, TIMOTHY JAMES
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: HERMAN, TIMOTHY JAMES
License/Registration Type: Dentist License
License Number: 36937 Primary Status: Current - Active
Address :
1840 Prairie City Rd
200
FOLSOM CA 95630-9579
SACRAMENTO COUNTY
