Dental Board of California
Licensing details for: 105767
Name: AGRAWAL, PRATIKSHA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Credential
Address of Record
933 Planetree Pl
SUNNYVALE CA 94086-8650
SANTA CLARA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BLOSSOM HILL DENTAL CENTER DENTAL OFFICE OF DR. AGRAWAL
License/Registration Type: Fictitious Name Permit
License Number: 18726 Primary Status: Current - Active
Address :
704 BLOSSOM HILL RD., SUITE #100
SAN JOSE CA 95123
SANTA CLARA 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: BLOSSOM HILL DENTAL CENTER DENTAL OFFICE OF DR. AGRAWAL
License/Registration Type: Fictitious Name Permit
License Number: 18726 Primary Status: Current - Active
Address :
704 BLOSSOM HILL RD., SUITE #100
SAN JOSE CA 95123
SANTA CLARA COUNTY
