Dental Board of California
Licensing details for: 102768
Name: ATOARDOSHAHI, BRONIKA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
817 Coffee Rd, Ste A1
MODESTO CA 95355
STANISLAUS 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: ATOARDOSHAHI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80882 Primary Status: Current - Active
Address :
3601 PELANDALE AVENUE SUITE D-1
MODESTO CA 95356
STANISLAUS COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MODESTO SMILES DENTISTRY DENTAL GROUP, ATOARDOSHAHI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16473 Primary Status: Expired
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: MODESTO SMILES DENTISTRY DENTAL GROUP, ATOARDOSHAHI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16473 Primary Status: Expired
Address :
3601 PELANDALE AVENUE SUITE D-1
MODESTO CA 95356
STANISLAUS COUNTY
