Dental Board of California
Licensing details for: 39585
Name: BARAKAT, ROBERT HABIB
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Probation Terminated
Address of Record
4275 ROCKLIN RD
STE B
ROCKLIN CA 95677
PLACER county
Map
License Relationships
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: SUNSET PLAZA DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 1079 Primary Status: Cancelled
Address :
6015 PACIFIC STREET STE 11
ROCKLIN CA 95677
PLACER COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: JONES, ELIZABETH ANN S
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 16 Primary Status: Cancelled
Address Not Disclosed
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: AZEVEDO, DIANN MARIE
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 15 Primary Status: Retired
Address Not Disclosed
