Dental Board of California
Licensing details for: 838
Name: CREATIVE DIMENSIONS IN DENTISTRY
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
250 JUANA AVENUE
SAN LEANDRO CA 94577
ALAMEDA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VANDERSLOOT, RALPH PETER
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: VANDERSLOOT, RALPH PETER
License/Registration Type: Dentist License
License Number: 22301 Primary Status: Expired
Address :
5700 STONERIDGE MALL RD
SUITE 290
PLEASANTON CA 94566
ALAMEDA COUNTY
