Dental Board of California
Licensing details for: 913
Name: DELTA ENDODONTICS LEVY STEFANAC DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Previous Names: DELTA ENDODONTICS ❖ DELTA ENDODONTICS_LEVY/STEFANAC DENT PR
Address of Record
4661 PRECISSI LANE
STOCKTON CA 95207
SAN JOAQUIN county
Map
License Relationships
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: STEFANAC, MATTHEW R
License/Registration Type: Dentist License
License Number: 26789 Primary Status: Cancelled
Address :
PO Box 11642
ZEPHYR COVE NV 89448-3642
DOUGLAS 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: MARWEG, WILLIAM JAMES
License/Registration Type: Dentist License
License Number: 37583 Primary Status: Current - Active
Address :
585 Grande Rio Dr
WOODBRIDGE CA 95258-9214
SAN JOAQUIN 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: LEVY, THOMAS ALLEN
License/Registration Type: Dentist License
License Number: 25165 Primary Status: Current - Active
Address :
4405 N Country Club Ln
LONG BEACH CA 90807-1430
LOS ANGELES COUNTY
