Dental Board of California
Licensing details for: 100274
Name: Javdan, Behdad
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1521 Diamond Park Ln
ROSEVILLE CA 95747-4611
PLACER county
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Practice Location
1424 Blue Oaks Blvd
ROSEVILLE CA 95747
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1115 12th St
#2A
SACRAMENTO CA 95814-3903
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11858 Bernardo Plaza Ct
Suite 270
SAN DIEGO CA 92128-2439
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12344 Fair Oaks Blvd
FAIR OAKS CA 95628-2546
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1430 Alhambra Blvd #100
SACRAMENTO CA 95816
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195 Blue Ravine Rd Ste 200
FOLSOM CA 95630-4723
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2436 Professional Dr Ste 200
ROSEVILLE CA 95661-7779
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3927 Waring Rd Ste E
OCEANSIDE CA 92056-4458
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6611 Coyle Ave
CARMICHAEL CA 95608-6311
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8950 Villa La Jolla Dr
Ste B101
LA JOLLA CA 92037-1705
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9280 Mast Blvd
SANTEE CA 92071-2150
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License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NORTH COUNTY PERIODONTICS & IMPLANT DENTISTRY DENTAL PRACTICE OF JAVDAN DENTAL INC.
License/Registration Type: Fictitious Name Permit
License Number: 18212 Primary Status: Current - Active
Address :
3927 WARING RD STE E
OCEANSIDE CA 92056
SAN DIEGO 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: NORTH COUNTY PERIODONTICS & IMPLANT DENTISTRY DENTAL PRACTICE OF JAVDAN DENTAL INC.
License/Registration Type: Fictitious Name Permit
License Number: 18212 Primary Status: Current - Active
Address :
3927 WARING RD STE E
OCEANSIDE CA 92056
SAN DIEGO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: Javdan, Behdad
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3559 Primary Status: Current - Active
Address :
1115 12th St
#2A
SACRAMENTO CA 95814-3903
