Dental Board of California
Licensing details for: 102539
Name: MACCHIARELLA, BIANCA CECELIA
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: BIANCA MACCHIARELLA, DDS
License/Registration Type: Additional Office Permit
License Number: 82708 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: BIANCA MACCHIARELLA , DDS
License/Registration Type: Additional Office Permit
License Number: 81839 Primary Status: Cancelled
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: 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: 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: 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: 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
