Dental Board of California
Licensing details for: 39431
Name: KURUVADI, SAILAJA
License Type: Dentist
Primary Status: Expired
Address of Record
1111 Majestad Ln
CHULA VISTA CA 91910-7924
SAN DIEGO 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: KURUVADI DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 5956 Primary Status: Cancelled
Address :
215 THIRD AVENUE
CHULA VISTA CA 91910
SAN DIEGO 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: CALIFORNIA SMILES DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1880 Primary Status: Cancelled
Address :
215 THIRD AVE
CHULA VISTA CA 91910
SAN DIEGO 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: SONRISA DENTAL GROUP & CENTER
License/Registration Type: Fictitious Name Permit
License Number: 2536 Primary Status: Cancelled
Address :
245 25TH STREET
SAN DIEGO CA 92102
SAN DIEGO 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: CHULA VISTA DENTAL GROUP & KURUVADI DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 1107 Primary Status: Cancelled
Address :
340 4TH AVENUE, SUITE_1
CHULA VISTA CA 91910
SAN DIEGO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: KURUVADI, SAILAJA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 430 Primary Status: Cancelled
Address :
215 THIRD AVENUE
CHULA VISTA CA 91910
SAN DIEGO COUNTY
