Dental Board of California
Licensing details for: 8690
Name: SHELHAMER ORAL & MAXILLOFACIAL SURGERY, DENTAL OFFICE OF ALAN SH
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: SHELLHAMER ORAL & MAXILLOFACIAL SURGERY, DENTAL OFFICE OF ALAN SHELHAMER, DDS, PROF. DENTAL CORP. ❖ SHELLHAMER ORAL & MAXILLOFACIAL SURGERY
Address of Record
6221 METROPOLITAN
STE. 103
CARLSBAD CA 92009
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHELHAMER, ALAN
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: SHELHAMER, ALAN
License/Registration Type: Dentist License
License Number: 53163 Primary Status: Current - Active
Address :
6221 METROPOLITAN ST
STE 103
CARLSBAD CA 92009
SAN DIEGO COUNTY
