Dental Board of California
Licensing details for: 837
Name: CREATIVE DIMENSIONS IN DENTISTRY
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
20265 LAKE CHABOT ROAD
CASTRO VALLEY CA 94546
ALAMEDA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MACKENZIE, GEORGE DAVID
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MACKENZIE, G DAVID
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GRIGGS, REGINALD ARNOLD
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: GRIGGS, REGINALD ARNOLD
License/Registration Type: Dentist License
License Number: 31619 Primary Status: Current - Active
Address :
20265 Lake Chabot Rd
CASTRO VALLEY CA 94546
ALAMEDA 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: MACKENZIE, GEORGE DAVID
License/Registration Type: Dentist License
License Number: 30605 Primary Status: Expired
Address :
3215 Gold Ct
LAFAYETTE CA 94549-5405
CONTRA COSTA COUNTY
