Dental Board of California
Licensing details for: 100027
Name: SANDHU, SAMITA KAUR
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
3593 ASHBOURNE CIRCLE
SAN RAMON CA 94583
CONTRA COSTA county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BAUTISTA AND PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81146 Primary Status: Current - Active
Address :
370 CODDINGTOWN CENTER
SANTA ROSA CA 95401
SONOMA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF SANTA ROSA DENTAL GROUP, BAUTISTA AND PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17054 Primary Status: Expired
Address :
370 CODDINGTOWN CENTER
SANTA ROSA CA 95401
SONOMA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF SANTA ROSA DENTAL GROUP, BAUTISTA AND PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17054 Primary Status: Expired
Address :
370 CODDINGTOWN CENTER
SANTA ROSA CA 95401
SONOMA COUNTY
