Dental Board of California
Licensing details for: 101058
Name: MOKBIL, AHMAD
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82513 Primary Status: Current - Active
Address :
10357 Fairway Dr. Suite 100
ROSEVILLE CA 95678
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82688 Primary Status: Current - Active
Address :
2660 5th St, Ste C
ALAMEDA CA 94501
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: DENTAL CORPORATION OF JASON LEE
License/Registration Type: Additional Office Permit
License Number: 81564 Primary Status: Cancelled
Address :
8854 MADISON AVE
FAIR OAKS CA 95628
SACRAMENTO COUNTY
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: CONLON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81451 Primary Status: Current - Active
Address :
3640 CROCKER DRIVE., SUITE 130
SACRAMENTO CA 95818
SACRAMENTO COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82158 Primary Status: Current - Active
Address :
1095 HERNDON AVE. STE. 103
CLOVIS CA 93612
FRESNO COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82146 Primary Status: Current - Active
Address :
2103 MCHENRY AVE., SUITE C
MODESTO CA 95350
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82319 Primary Status: Current - Active
Address :
1008 W Shaw Ave., Ste 105
FRESNO CA 93711
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82185 Primary Status: Current - Active
Address :
5925 BIRDCAGE CENTRE LANE SUITE D105
CITRUS HEIGHTS CA 95610
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82622 Primary Status: Current - Active
Address :
6623 N Riverside Dr Ste 101
FRESNO CA 93722-9325
FRESNO COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82584 Primary Status: Current - Active
Address :
2380 Monument Blvd. Suite F
PLEASANT HILL CA 94523
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82467 Primary Status: Current - Active
Address :
2041 Bronze Star Dr, Ste 100
WOODLAND CA 95776
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82432 Primary Status: Current - Active
Address :
3521 Arden Way, Ste 101
SACRAMENTO CA 95864
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82271 Primary Status: Current - Active
Address :
8472 N. Friant Road
FRESNO CA 93720
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82744 Primary Status: Current - Active
Address :
6315 Commerce Blvd
ROHNERT PARK CA 94928
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82289 Primary Status: Current - Active
Address :
775 Ikea Court Suite 130
WEST SACRAMENTO CA 95605
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: DENTAL CORPORATION OF AHMAD MOKBIL
License/Registration Type: Additional Office Permit
License Number: 81533 Primary Status: Cancelled
Address :
2228 Fair Oaks Blvd.
SACRAMENTO CA 92825
SACRAMENTO COUNTY
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: NATHAN TULLY DETNAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81520 Primary Status: Cancelled
Address :
3601 PELANDALE AVENUE, SUITE D-1
MODESTO CA 95356
STANISLAUS COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82140 Primary Status: Current - Active
Address :
1095 HERNDON AVE. STE. 102
CLOVIS CA 93612
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82474 Primary Status: Current - Active
Address :
241 W. E Ave, Ste 1
CHICO CA 95926
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82239 Primary Status: Current - Active
Address :
5315 Sunrise Blvd.
FAIR OAKS CA 95628
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82524 Primary Status: Current - Active
Address :
10064 Bruceville Road Suite 140
ELK GROVE CA 95757
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82480 Primary Status: Current - Active
Address :
9630 Bruceville Rd., Suite 102
ELK GROVE CA 95757
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82731 Primary Status: Current - Active
Address :
2320 Clovis Avenue, Suite 102
CLOVIS CA 93612
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82746 Primary Status: Current - Active
Address :
9055 Woodcreek Oaks Blvd. Suite 150
ROSEVILLE CA 95747
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82705 Primary Status: Current - Active
Address :
4625 Second St, Ste 100
DAVIS CA 95618
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82304 Primary Status: Current - Active
Address :
6766 Bernal Ave., Ste 560
PLEASANTON CA 94566
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82625 Primary Status: Current - Active
Address :
1208 Fitzgerald Dr
PINOLE CA 94564-2252
CONTRA COSTA COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82397 Primary Status: Current - Active
Address :
1193 E. Champlain Drive
FRESNO CA 93720
FRESNO COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82040 Primary Status: Current - Active
Address :
784 ADMIRAL CALLAGHAN LANE
VALLEJO CA 94591
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82754 Primary Status: Current - Active
Address :
3630 G Street, Suite C
MERCED CA 95340
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: DENTAL CORPORATION OF JASON LEE
License/Registration Type: Additional Office Permit
License Number: 81412 Primary Status: Cancelled
Address :
8908 MADISON AVENUE
FAIR OAKS CA 95628
SACRAMENTO COUNTY
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: MOKBIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81282 Primary Status: Current - Active
Address :
4022 SUNRISE BLVD SUITE 160
RANCHO CORDOVA CA 95742
SACRAMENTO COUNTY
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: SIMRAN KAUR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81394 Primary Status: Cancelled
Address :
1990 BLUE OAKS BLVD STE 100
ROSEVILLE CA 95747
PLACER COUNTY
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: ZEYAD ALANI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81534 Primary Status: Current - Active
Address :
8630 SIERRA COLLEGE BLVD., SUITE 110.
ROESVILLE CA 95661
PLACER COUNTY
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: DILANKUMAR PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81577 Primary Status: Cancelled
Address :
4297 CENTURY BLVD
PITTSBURG CA 94565
CONTRA COSTA COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82196 Primary Status: Current - Active
Address :
8204 DELTA SHORES CIR. S. SUITE140
SACRAMENTO CA 95832
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82329 Primary Status: Current - Active
Address :
5494 Crossings Drive Suite 103
ROCKLIN CA 95677
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82426 Primary Status: Current - Active
Address :
10842 Bear Hollow Drive Suite 101
RANCHO CORDOVA CA 95670
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82491 Primary Status: Current - Active
Address :
10910 Olson Dr, Ste 100
RANCHO CORDOVA CA 95670
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82501 Primary Status: Current - Active
Address :
8854 Madison Ave.
FAIR OAKS CA 95628
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82546 Primary Status: Current - Active
Address :
5142 Stevens Creek Blvd.
SAN JOSE CA 95129
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82507 Primary Status: Current - Active
Address :
1990 Blue Oaks Blvd., Ste. 100
ROSEVILLE CA 95747
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82423 Primary Status: Current - Active
Address :
370 Coddingtown Center
SANTA ROSA CA 95401
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82709 Primary Status: Current - Active
Address :
1450 E. Main St, Ste 100
WOODLAND CA 95776
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82767 Primary Status: Current - Active
Address :
3381 Bass Lake Rd, Ste 140
EL DORADO HILLS CA 95762
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82735 Primary Status: Current - Active
Address :
995 Tharp Road, Suite B
CLOVIS CA 95993
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82695 Primary Status: Current - Active
Address :
2654 Marconi Ave., Suite 100
SACRAMENTO CA 95821
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: AHMAD MOKBIL, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80360 Primary Status: Cancelled
Address :
992 FLORIN ROAD
SACRAMENTO CA 95831
SACRAMENTO COUNTY
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: MOKBIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80511 Primary Status: Cancelled
Address :
4022 SUNRISE BLVD., SUITE 160
RANCHO CORDOVA CA 95742
SACRAMENTO COUNTY
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: TULLY AND MOKBIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81066 Primary Status: Cancelled
Address :
2228 FAIR OAKS BLVD
SACRAMENTO CA 95825
SACRAMENTO COUNTY
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: AVALPREET DANG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81650 Primary Status: Cancelled
Address :
3630 G STREET, SUITE C
MERCED CA 95340
MERCED COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82085 Primary Status: Current - Active
Address :
3332 N. TEXAS STREET, SUITE D
FAIRFIELD CA 94533
SOLANO COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82165 Primary Status: Current - Active
Address :
6660 LONE TREE WAY SUITE 7
BRENTWOOD CA 94513
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82455 Primary Status: Current - Active
Address :
4515 Fermi Pl., Suite 106
DAVIS CA 95618
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82512 Primary Status: Current - Active
Address :
992 Florin Rd
SACRAMENTO CA 95831
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82738 Primary Status: Current - Active
Address :
3601 Pelandale Avenue, Suite D-1
MODESTO CA 95356
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82601 Primary Status: Current - Active
Address :
671 Elmira Road Suite 130
VACAVILLE CA 95687
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: AHMAD MOKBIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80390 Primary Status: Cancelled
Address :
6660 LONE TREE WAY, SUITE 7
BRENTWOOD CA 94513
CONTRA COSTA COUNTY
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: SEUNG LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81519 Primary Status: Cancelled
Address :
948 DIABLO AVENUE
NOVATO CA 94947
MARIN COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82178 Primary Status: Current - Active
Address :
4375 1ST STREET
LIVERMORE CA 94551
ALAMEDA COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82450 Primary Status: Current - Active
Address :
150 North 12th Avenue Ste 109
HANFORD CA 93230
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82651 Primary Status: Current - Active
Address :
3630 Shaw Ave
CLOVIS CA 93619
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82458 Primary Status: Current - Active
Address :
948 Diablo Ave
NOVATO CA 94947
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82558 Primary Status: Current - Active
Address :
2205 Francisco Dr. Suite 150
EL DORADO HILLS CA 95762
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82497 Primary Status: Current - Active
Address :
9640 Bruceville Rd., Suite 101
ELK GROVE CA 95757
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82785 Primary Status: Current - Active
Address :
3967 Missouri Flat Rd, Ste 120
PLACERVILLE CA 95667
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82751 Primary Status: Current - Active
Address :
170 El Cerrito Plaza
EL CERRITO CA 94530
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82726 Primary Status: Current - Active
Address :
2228 Fair Oaks Blvd.
SACRAMENTO CA 95825
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: AHMAD MOKBIL, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80958 Primary Status: Cancelled
Address :
2380 MONUMENT BLVD. SUITE F
PLEASANT HILL CA 94523
CONTRA COSTA COUNTY
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: Alubaidi Dental Corporation
License/Registration Type: Additional Office Permit
License Number: 81391 Primary Status: Cancelled
Address :
2380 MONUMENT BLVD., SUITE F
PLEASANT HILL CA 94523
CONTRA COSTA COUNTY
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: FAREID AND MOKBIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81417 Primary Status: Cancelled
Address :
150 N. 12TH AVENUE, SUITE 109
HANFORD CA 93230
KINGS COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82684 Primary Status: Current - Active
Address :
21001 San Ramon Valley Blvd, Ste C6
SAN RAMON CA 94583
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: KIRANDEEP PINKY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81640 Primary Status: Cancelled
Address :
4011 SUNRISE BLVD., SUITE B
RANCHO CORDOVA CA 95742
SACRAMENTO COUNTY
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: TABA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81521 Primary Status: Current - Active
Address :
2808 W. Monte Vista Avenue
TURLOCK CA 95380
STANISLAUS COUNTY
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: MOKBIL AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81690 Primary Status: Expired
Address :
21001 SAN RAMON VALLEY BLVD., SUITE C6
SAN RAMON CA 94583
CONTRA COSTA COUNTY
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: KHATTAK DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81440 Primary Status: Current - Active
Address :
781 STERLING PARKWAY
LINCOLN CA 95648
PLACER COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 81854 Primary Status: Current - Active
Address :
1016 RILEY STREET, SUITE 1
FOLSOM CA 95630
SACRAMENTO COUNTY
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: CASTILLO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81566 Primary Status: Cancelled
Address :
10842 BEAR HOLLOW DRIVE SUITE 101
RANCHO CORDOVA CA 95670
SACRAMENTO COUNTY
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: DHAVAL PATEL AND AMARDEEP GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81447 Primary Status: Cancelled
Address :
6766 BARNAL AVENUE., SUITE 560
PLEASANTON CA 94566
ALAMEDA COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82724 Primary Status: Current - Active
Address :
4297 Century Blvd
PITTSBURG CA 94565
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82202 Primary Status: Current - Active
Address :
2610 REYNOLDS RANCH PKWY. SUITE 100
LODI CA 95240
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82083 Primary Status: Current - Active
Address :
3332 N. TEXAS STREET, SUITE C
FAIRFIELD CA 94533
SOLANO COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82189 Primary Status: Current - Active
Address :
8211 BRUCEVILLE RD. STE. 155
SACRAMENTO CA 95823
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82518 Primary Status: Current - Active
Address :
3290 Arena Blvd. Suite 610
SACRAMENTO CA 95834
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82470 Primary Status: Current - Active
Address :
2405 Iron Point Rd., Suite 100
FOLSOM CA 95630
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82046 Primary Status: Current - Active
Address :
30941 COURTHOUSE DRIVE
UNION CITY CA 94587
ALAMEDA COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82032 Primary Status: Current - Active
Address :
4711 LAGUNA BLVD., SUITE 101
ELK GROVE CA 95758
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82062 Primary Status: Current - Active
Address :
2682 NAGLEE RD., SUITE 110
TRACY CA 95304
SAN JOAQUIN COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82691 Primary Status: Current - Active
Address :
2600 S. Tracy Blvd., Suite 170
TRACY CA 95376
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82725 Primary Status: Current - Active
Address :
4011 Sunrise Blvd, Suite B
RANCHO CORDOVA CA 95742
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82678 Primary Status: Current - Active
Address :
6920 Auburn Blvd, Ste 100
CITRUS HEIGHTS CA 95621
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82175 Primary Status: Current - Active
Address :
1011 HELEN POWER DR.
VACAVILLE CA 95687
SOLANO COUNTY
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82226 Primary Status: Current - Active
Address :
2712 Homestead Road
SANTA CLARA CA 95051
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: AHMAD MOKBIL, DDS
License/Registration Type: Additional Office Permit
License Number: 82440 Primary Status: Current - Active
Address :
4129 S Mooney Blvd, Ste B
VISALIA CA 93277
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: NOVATO SMILES DENTISTRY DENTAL GROUP, SEUNG LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17844 Primary Status: Expired
Address :
948 DIABLO AVENUE
NOVATO CA 94947
MARIN 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: GRANITE BAY SMILES DENTISTRY DENTAL GROUP, ZEYAD ALANI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17899 Primary Status: Current - Active
Address :
8630 Sierra College Blvd.
Suite 110
ROSEVILLE CA 95661
PLACER 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 WOODLAND DENTAL GROUP, MACCHIARELLA AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18660 Primary Status: Expired
Address :
1450 E. MAIN STREET, SUITE 100
WOODLAND CA 95695
YOLO 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: Rocklin Crossings Dentistry, Dental Group of Rocklin Crossings Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20156 Primary Status: Current - Active
Address :
5494 Crossings Drive, Suite 103
ROCKLIN CA 95677
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: CHAMPLAIN DENTISTRY DENTAL GROUP OF CHAMPLAIN DENTISTRY, INC.
License/Registration Type: Fictitious Name Permit
License Number: 20280 Primary Status: Current - Active
Address :
1193 E Champlain Dr
FRESNO CA 93720
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: Arden Modern Dentistry, Dental Group of Arden Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20363 Primary Status: Current - Active
Address :
2654 Marconi Ave., Suite 100
SACRAMENTO CA 95821
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: Pleasant Hill Smiles Dentistry, Dental Group of Pleasant Hill Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20258 Primary Status: Current - Active
Address :
2380 Monument Blvd, Ste F
PLEASANT HILL, CA 94523
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: Pleasanton Ridge Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20296 Primary Status: Current - Active
Address :
6766 Bernal Ave, Ste 560
PLEASANTON CA 94566
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: PLEASANT HILL SMILES DENTISTRY DENTAL GROUP, AHMAD MOKBIL, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 16592 Primary Status: Cancelled
Address :
2380 MONUMENT BLVD. SUITE F
PLEASANT HILL CA 94523
CONTRA COSTA 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: PLEASANT HILL SMILES DENTISTRY DENTAL GROUP ALUBAIDI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17552 Primary Status: Expired
Address :
2380 Monument Blvd., Suite F
PLEASANT HILL CA 94523
CONTRA COSTA 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: TURLOCK SMILES DENTISTRY DENTAL GROUP, TABA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17845 Primary Status: Current - Active
Address :
2808 W. Monte Vista Avenue
TURLOCK CA 95380
STANISLAUS 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 HANFORD DENTAL GROUP, FAREID AND MOKBIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17741 Primary Status: Current - Active
Address :
150 N. 12TH AVENUE, SUITE 109
HANFORD CA 93230
KINGS 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: Clovis Modern Dentistry, Dental Group of Clovis Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20172 Primary Status: Current - Active
Address :
2320 Clovis Ave, Ste 102
CLOVIS CA 93612
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: Davis Smiles Dentistry, Dental Group of Davis Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20317 Primary Status: Current - Active
Address :
4515 Fermi Pl., Ste. 106
DAVIS CA 95618
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: Pleasant Grove Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20167 Primary Status: Current - Active
Address :
10357 Fairway Dr., Suite 100
ROSEVILLE CA 95678
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: Yuba City Modern Dentistry, Dental Group of Yuba City Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20174 Primary Status: Current - Active
Address :
995 Tharp Rd, Ste B
YUBA CITY CA 95993
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 of Dentists of Santa Rosa, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20212 Primary Status: Current - Active
Address :
370 Coddingtown Center
SANTA ROSA CA 95401
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 ELK GROVE DENTAL GROUP, INAKSH JOHAL, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 19145 Primary Status: Current - Active
Address :
4711 LAGUNA BLVD., SUITE 101
ELK GROVE CA 95758
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 El Cerrito Plaza, Dental Group of Dentists of El Cerrito Plaza, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20481 Primary Status: Current - Active
Address :
170 El Cerrito Plaza
EL CERRITO CA 94530
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: GREENHAVEN MODERN DENTISTRY DENTAL GROUP AHMAD MOKBIL, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 15449 Primary Status: Cancelled
Address :
992 FLORIN ROAD
SACRAMENTO CA 95831
SACRAMENTO 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: RANCHO CORDOVA SMILES DENTISTRY DENTAL GROUP MOKBIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15676 Primary Status: Cancelled
Address :
4022 SUNRISE BLVD., SUITE 160
RANCHO CORDOVA CA 95742
SACRAMENTO 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 FAIR OAKS DENTAL GROUP, DENTAL CORPORATION OF JASON LEE
License/Registration Type: Fictitious Name Permit
License Number: 17936 Primary Status: Expired
Address :
8854 Madison Avenue
FAIR OAKS CA 95628
SACRAMENTO 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: MATHER MODERN DENTISTRY DENTAL GROUP, CASTILLO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17950 Primary Status: Expired
Address :
10842 BEAR HOLLOW DRIVE SUITE 101
RANCHO CORDOVA CA 95670
SACRAMENTO 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: MODESTO SMILES DENTISTRY DENTAL GROUP, NATHAN TULLY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17843 Primary Status: Current - Active
Address :
3601 Pelandale Avenue
Suite D-1
MODESTO CA 95356
STANISLAUS 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 DAVIS DENTAL GROUP, MAK AND VICUNA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18624 Primary Status: Current - Active
Address :
4625 SECOND STREET, SUITE 100
DAVIS CA 95618
YOLO 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: LAND PARK MODERN DENTISTRY DENTAL GROUP, CONLON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17685 Primary Status: Current - Active
Address :
3640 CROCKER DRIVE., SUITE 130
SACRAMENTO CA 95818
SACRAMENTO 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: FREMONT HUB DENTISTRY DENTAL GROUP, DENTAL CORPORATION OF MOKBIL AND GILL
License/Registration Type: Fictitious Name Permit
License Number: 18964 Primary Status: Current - Active
Address :
39025 FREMONT HUB STE 340
FREMONT CA 94538
ALAMEDA 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 Hanford Dental Group of Dentists of Hanford
License/Registration Type: Fictitious Name Permit
License Number: 20286 Primary Status: Current - Active
Address :
150 N 12th Ave Ste 109
HANFORD CA 93230-6178
KINGS 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: Clovis Crossing Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20351 Primary Status: Current - Active
Address :
1095 Herndon Ave., Ste. 102
CLOVIS CA 93612
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: Livermore Smiles Dentistry Dental Group of Livermore Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20288 Primary Status: Current - Active
Address :
4375 1st St
LIVERMORE CA 94551-4912
ALAMEDA 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: Pinole Modern Dentistry, Dental Group of Pinole Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20298 Primary Status: Current - Active
Address :
1208 Fitzgerald Dr
PINOLE CA 94564
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: Fairfield Dentists Dental Group of Fairfield Dentists, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20108 Primary Status: Current - Active
Address :
3332 N. Texas Street, Suite C
FAIRFIELD CA 94533
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: Strawberry Creek Dental Group, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20256 Primary Status: Current - Active
Address :
8211 Bruceville Rd. Ste. 155
SACRAMENTO CA 95823
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: Vacaville Dentistry, Dental Group of Vacaville Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20222 Primary Status: Current - Active
Address :
671 Elmira Rd, Ste 130
VACAVILLE CA 95687
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: Nut Tree Smiles Dentistry, Dental Group of Nut Tree Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20208 Primary Status: Current - Active
Address :
1011 Helen Power Dr.
VACAVILLE CA 95687
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: Rancho Cordova Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20069 Primary Status: Current - Active
Address :
10910 Olson Dr Ste 100
RANCHO CORDOVA CA 95670
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: MY KIDS DENTIST DENTAL GROUP, LIN, PHAM AND NAKAKI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19141 Primary Status: Current - Active
Address :
2290 DANIELS STREET
MANTECA CA 95337
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 El Dorado Hills, Dental Group of Dentists of El Dorado Hills, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20496 Primary Status: Current - Active
Address :
3381 Bass Lake Rd, Ste 140
EL DORADO HILLS CA 95762
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: BRENTWOOD SMILES DENTISTRY DENTAL GROUP AHMAD MOKBIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15498 Primary Status: Cancelled
Address :
6660 LONE TREE WAY, SUITE 7
BRENTWOOD CA 94513
CONTRA COSTA 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: PLEASANT GROVE DENTAL GROUP, DENTAL CORPORATION OF DHAVAL PATEL
License/Registration Type: Fictitious Name Permit
License Number: 18971 Primary Status: Expired
Address :
10357 FAIRWAY DRIVE, SUITE 100
ROSEVILLE CA 95678
PLACER 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 CAMPUS COMMONS DENTAL GROUP, TULLY AND MOKBIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16853 Primary Status: Cancelled
Address :
2228 FAIR OAKS BLVD
SACRAMENTO CA 95825
SACRAMENTO 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: RIVER CITY DENTAL GROUP, DENTAL CORPORATION OF JASON LEE
License/Registration Type: Fictitious Name Permit
License Number: 17617 Primary Status: Cancelled
Address :
8908 MADISON AVENUE
FAIR OAKS CA 95628
SACRAMENTO 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 SAN RAMON DENTAL GROUP, MOKBIL AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18298 Primary Status: Expired
Address :
21001 SAN RAMON VALLEY BLVD., SUITE C6
SAN RAMON CA 94583
CONTRA COSTA 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 FOLSOM DENTAL GROUP, MOKBIL AND VICUNA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18683 Primary Status: Current - Active
Address :
1016 RILEY STREET, SUITE 1
FOLSOM CA 95630
SACRAMENTO 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: BRENTWOOD SMILES DENTISTRY DENTAL GROUP, MOKBIL AND TAHA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19175 Primary Status: Expired
Address :
6660 LONE TREE WAY, SUITE 7
BRENTWOOD CA 94513
CONTRA COSTA 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 San Ramon, Dental Group of Dentists of San Ramon, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20326 Primary Status: Current - Active
Address :
21001 San Ramon Valley Blvd Ste C6
SAN RAMON CA 94583-3456
CONTRA COSTA 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: Modesto Modern Dentistry, Dental Group of Modesto Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20224 Primary Status: Current - Active
Address :
2103 McHenry Ave., Suite C
MODESTO CA 95350
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 Davis, Dental Group of Dentists of Davis, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20329 Primary Status: Current - Active
Address :
4625 2nd St Ste 100
DAVIS CA 95618-9418
YOLO 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 Campus Commons, Dental Group of Dentists of Campus Commons, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20265 Primary Status: Current - Active
Address :
2228 Fair Oaks Blvd
SACRAMENTO CA 95825
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: Greenhaven Modern Dentistry, Dental Group of Greenhaven Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20482 Primary Status: Current - Active
Address :
992 Florin Rd
SACRAMENTO CA 95831
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: My Kid's Dentist Dental Group of Fairfield Dentists, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20107 Primary Status: Current - Active
Address :
3332 N. Texas Street, Suite D
FAIRFIELD CA 94533
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 Clara, Dental Group of Dentists of Santa Clara, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20226 Primary Status: Current - Active
Address :
2712 Homestead Rd
SANTA CLARA CA 95051
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: CITRUS HEIGHTS SMILES DENTISTRY DENTAL GROUP, HIBBA BAJWA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18648 Primary Status: Current - Active
Address :
6920 AUBURN BLVD., SUITE 100
CITRUS HEIGHTS CA 95621
SACRAMENTO 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 Woodland, Dental Group of Dentists of Woodland, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20360 Primary Status: Current - Active
Address :
1450 E. Main St., Suite 100
WOODLAND CA 95776
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: Fresno Modern Dentistry, Dental Group of Fresno Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20186 Primary Status: Current - Active
Address :
8472 N. Friant Road, Suite 105
FRESNO CA 93720
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: FOLSOM HILLS DENTISTRY DENTAL GROUP, O'DONNELL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19190 Primary Status: Current - Active
Address :
2465 IRON POINT RD. SUITE 120
FOLSOM CA 95630
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: Roseville Modern Dentistry, Dental Group of Roseville Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20268 Primary Status: Current - Active
Address :
1990 Blue Oaks Blvd, Ste 100
ROSEVILLE CA 95747
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: Mather Modern Dentistry, Dental Group of Mather Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20229 Primary Status: Current - Active
Address :
10842 Bear Hollow Dr, Ste 101
RANCHO CORDOVA CA 95670
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: Citrus Heights Modern Dentistry, Dental Group of Citrus Heights Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20233 Primary Status: Current - Active
Address :
5925 Birdcage Centre Lane Suite D105
CITRUS HEIGHTS CA 95610
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: Marketplace Smiles Dentistry, Dental Group of Marketplace Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20336 Primary Status: Current - Active
Address :
6623 N Riverside Dr., Ste. 101
FRESNO CA 93722
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 Arden, Dental Group of Dentists of Arden, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20344 Primary Status: Current - Active
Address :
3521 Arden Way, Ste 101
SACRAMENTO CA 95864
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: Tracy Smiles, Dental Group of Tracy Smiles, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20357 Primary Status: Current - Active
Address :
2600 S. Tracy Blvd., Suite 170
TRACY CA 95376
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 El Dorado Hills, Dental Group of Dentists of El Dorado Hills, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20276 Primary Status: Current - Active
Address :
3381 Bass Lake Rd Suite 140
EL DORADO HILLS CA 95762
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: Fig Garden Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20319 Primary Status: Current - Active
Address :
1008 W Shaw Ave., Ste. 105
FRESNO CA 93711
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: Market West Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20322 Primary Status: Current - Active
Address :
3290 Arena Blvd., Suite 610
SACRAMENTO CA 95834
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: Union City Modern Dentistry, Dental Group of Union City Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20358 Primary Status: Current - Active
Address :
30941 Courthouse Drive
UNION CITY CA 94587
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: Anatolia Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20340 Primary Status: Current - Active
Address :
4011 Sunrise Blvd, Suite B
RANCHO CORDOVA CA 95742
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: ROSEVILLE MODERN DENTISTRY DENTAL GROUP, SIMRAN KAUR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17810 Primary Status: Expired
Address :
1990 BLUE OAKS BLVD., STE 100
ROSEVILLE CA 95747
PLACER 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 CAMPUS COMMONS DENTAL GROUP, DENTAL CORPORATION OF AHMAD MOKBIL
License/Registration Type: Fictitious Name Permit
License Number: 17898 Primary Status: Expired
Address :
2228 Fair Oaks Blvd.
SACRAMENTO CA 95825
SACRAMENTO 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: PLEASANTON RIDGE DENTAL GROUP, DHAVAL PATEL AND AMARDEEP GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17657 Primary Status: Expired
Address :
6766 BARNAL AVENUE., SUITE 560
PLEASANTON CA 94566
ALAMEDA 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 Lodi, Dental Group of Dentists of Lodi, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20278 Primary Status: Current - Active
Address :
2610 Reynolds Ranch Pkwy Suite 100
LODI CA 95240
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: Citrus Heights Smiles Dentistry, Dental Group of Citrus Heights Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20338 Primary Status: Current - Active
Address :
6920 Auburn Blvd., Ste. 100
CITRUS HEIGHTS CA 95621
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: My Kid's Dentist, Dental Group of My Kid's Dentist Elk Grove, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20231 Primary Status: Current - Active
Address :
9630 Bruceville Rd., Ste 102
ELK GROVE CA 95757
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: Missouri Flat Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20300 Primary Status: Current - Active
Address :
3967 Missouri Flat Rd Ste 120
PLACERVILLE CA 95667-5250
EL DORADO 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 Pittsburg, Dental Group of Dentists of Pittsburg, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20327 Primary Status: Current - Active
Address :
4297 Century Blvd
PITTSBURG CA 94565-7113
CONTRA COSTA 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: Green Valley Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20341 Primary Status: Current - Active
Address :
2205 Francisco Dr., Suite 150
EL DORADO HILLS CA 95762
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: My Kid's Dentist Folsom Hills, Dental Group of My Kid's Dentist Folsom Hills, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20196 Primary Status: Current - Active
Address :
2405 Iron Point Rd, Ste 100
FOLSOM CA 95630
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: Elk Grove Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20318 Primary Status: Current - Active
Address :
9640 Bruceville Rd., Suite 101
ELK GROVE CA 95757
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 Fair Oaks, Dental Group of Dentists of Fair Oaks, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20328 Primary Status: Current - Active
Address :
8854 Madison Ave
FAIR OAKS CA 95628-3908
SACRAMENTO 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: Delta Shores Dentistry, Dental Group of Dental Shores Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20235 Primary Status: Current - Active
Address :
8204 Delta Shores Cir S. Suite 140
SACRAMENTO CA 95832
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 East Clovis, Dental Group of Dentists of East Clovis, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20356 Primary Status: Current - Active
Address :
3630 Shaw Avenue
CLOVIS CA 93619
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: Crocker Ranch Dentistry, Dental Group of Crocker Ranch Dentistry, Prof. Corp.
License/Registration Type: Fictitious Name Permit
License Number: 20489 Primary Status: Current - Active
Address :
9055 Woodcreek Oaks Blvd. Suite 150
ROSEVILLE CA 95747
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: ANATOLIA DENTAL GROUP, KIRANDEEP PINKY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18155 Primary Status: Current - Active
Address :
4011 SUNRISE BLVD., SUITE B
RANCHO CORDOVA CA 95742
SACRAMENTO 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: PARKWAY DENTAL GROUP, KHATTAK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17666 Primary Status: Current - Active
Address :
781 STERLING PARKWAY
LINCOLN CA 95648
PLACER 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: My Kid's Dentist, Dental Group of Marketplace Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20333 Primary Status: Current - Active
Address :
6623 N Riverside Dr., Ste. 101
FRESNO CA 93722
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: Madison Modern Dentistry, Dental Group of Madison Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20160 Primary Status: Current - Active
Address :
5315 Sunrise Blvd
FAIR OAKS CA 95628
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: Woodland Smiles Dentistry, Dental Group of Woodland Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20399 Primary Status: Current - Active
Address :
2041 Bronze Star Dr., Ste. 100
WOODLAND CA 95776
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 West Sacramento, Dental Group of Dentists of West Sacramento, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20189 Primary Status: Current - Active
Address :
775 Ikea Court, Suite 130
WEST SACRAMENTO CA 95605
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: Modesto Smiles Dentistry, Dental Group of Modesto Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20203 Primary Status: Current - Active
Address :
3601 Pelandale Ave, Ste D-1
MODESTO CA 95356
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: Brentwood Smiles Dentistry, Dental Group of Brentwood Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20271 Primary Status: Current - Active
Address :
6660 Lone Tree Way, Ste 7
BRENTWOOD CA 94513
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: Alameda Landing Dentistry, Dental Group of Alameda Landing Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20359 Primary Status: Current - Active
Address :
2660 5th St., Suite C
ALAMEDA CA 94501
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: Merced Modern Dentistry, Dental Group of Merced Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20325 Primary Status: Current - Active
Address :
3630 G St Ste C
MERCED CA 95340-9201
MERCED 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: My Kid's Dentist, Dental Group of Woodland Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20400 Primary Status: Current - Active
Address :
2041 Bronze Star Dr., Ste. 400
WOODLAND CA 95776
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: West San Jose Modern Dentistry, Dental Group of West San Jose Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20175 Primary Status: Current - Active
Address :
5142 Stevens Creek Blvd
SAN JOSE CA 95129
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: STADIUM DENTAL GROUP, LIN, PHAM AND NAKAKI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19109 Primary Status: Current - Active
Address :
2288 DANIELS STREET
MANTECA CA 95337
SAN JOAQUIN 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: MERCED MODERN DENTISTRY DENTAL GROUP, AVALPREET DANG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18164 Primary Status: Current - Active
Address :
3630 G STREET, SUITE C
MERCED CA 95340
MERCED 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 PITTSBURG DENTAL GROUP, DILANKUMAR PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18035 Primary Status: Expired
Address :
4297 CENTURY BLVD
PITTSBURG CA 94565
CONTRA COSTA 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: RANCHO CORDOVA SMILES DENTISTRY DENTAL GROUP, MOKBIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17908 Primary Status: Current - Active
Address :
4022 SUNRISE BLVD SUITE 160
RANCHO CORDOVA CA 95742
SACRAMENTO 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: Rohnert Park Smiles Dentistry, Dental Group of Rohnert Park Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20321 Primary Status: Current - Active
Address :
6315 Commerce Blvd
ROHNERT PARK CA 94928-2403
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: Chico Modern Dentistry, Dental Group of Chico Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20232 Primary Status: Current - Active
Address :
241 W. E Ave, Ste 1
CHICO CA 95926
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: Packwood Creek Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20342 Primary Status: Current - Active
Address :
4129 S. Mooney Blvd., Suite B
VISALIA CA 93277
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: Whitelock Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20216 Primary Status: Current - Active
Address :
10064 Bruceville Road, Suite 140
ELK GROVE CA 95757
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: Naglee Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20259 Primary Status: Current - Active
Address :
2682 Naglee Rd Ste 110
TRACY CA 95304
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: Novato Smiles Dentistry, Dental Group of Novato Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20213 Primary Status: Current - Active
Address :
948 Diablo Ave.
NOVATO CA 94947
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 VALLEJO DENTAL GROUP, MAKKIYAH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19119 Primary Status: Current - Active
Address :
784 ADMIRAL CALLAGHAN LANE
VALLEJO CA 94591
SOLANO 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 Folsom, Dental Group of Dentists of Folsom, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20518 Primary Status: Current - Active
Address :
1016 Riley St, Ste 1
FOLSOM CA 95630
