Dental Board of California
Licensing details for: 102211
Name: SERI, MADHAVI SURESH
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1940 N Tracy Blvd
TRACY CA 95376-2423
SAN JOAQUIN county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SPARK FAMILY DENTAL, DENTAL GROUP OF MADHAVI SURESH SERI DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 17315 Primary Status: Current - Active
Address :
1940 N TRACY BLVD
TRACY CA 95376
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: SPARK FAMILY DENTAL, DENTAL GROUP OF MADHAVI SURESH SERI DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 17315 Primary Status: Current - Active
Address :
1940 N TRACY BLVD
TRACY CA 95376
SAN JOAQUIN COUNTY
