
Dental Board of California
Licensing details for: 103379
Name: DHAMOTHARAN KUMAR, MAWNA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: Mawna Dhamotharan Kumar DDS Inc
License/Registration Type: Fictitious Name Permit
License Number: 17906 Primary Status: Current - Active
Address :
12111 ALCOSTA BLVD
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: DK DENTAL CARE DENTAL PRACTICE OF DR. KUMAR
License/Registration Type: Fictitious Name Permit
License Number: 17906 Primary Status: Current - Active
Address :
12111 ALCOSTA BLVD
SAN RAMON CA 94583
CONTRA COSTA COUNTY