Dental Board of California
Licensing details for: 7867
Name: SANTA CRUZ DENTAL OFFICE, CUDICK AZURDUY
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: SANTA CRUZ DENTAL OFFICE
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: AZURDUY, CUDICK L
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: AZURDUY, CUDICK L
License/Registration Type: Dentist License
License Number: 49840 Primary Status: Current - Active
Address :
7275 E. SOUTHGATE DR.
SUITE 110
SACRAMENTO CA 95823
SACRAMENTO COUNTY
