Dental Board of California
Licensing details for: 39707
Name: SHANKAR, VISHNU
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Revoked, Stayed, Probation
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: VISHNU SHANKAR, DDS
License/Registration Type: Additional Office Permit
License Number: 82233 Primary Status: Current - Active
Address :
5611 LONE TREE WAY, SUITE 140
BRENTWOOD CA 94513
CONTRA COSTA COUNTY
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: VISHNU SHANKAR, DDS
License/Registration Type: Additional Office Permit
License Number: 7607 Primary Status: Cancelled
Address :
9105 BRUCEVILLE ROAD, STE 8
ELK GROVE CA 95758
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SAN BRUNO DENTAL CARE, OFFICE OF VISHNU SHANKAR, DDS
License/Registration Type: Fictitious Name Permit
License Number: 2082 Primary Status: Cancelled
Address :
211 EL CAMINO REAL
SAN BRUNO CA 94066
SAN MATEO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ELK GROVE DENTAL CARE DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 3372 Primary Status: Cancelled
Address :
9105 BRUCEVILLE ROAD, SUITE 8-A
ELK GROVE CA 95758
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ELK GROVE DENTAL CARE DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 3227 Primary Status: Cancelled
Address :
211 EL CAMINO REAL
SAN BRUNO CA 94066
SAN MATEO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LOS ALTOS DENTAL, DENTAL OFFICE OF VISHNU SHANKAR, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8059 Primary Status: Cancelled
Address :
1000 FREMONT AVENUE
STE. 130
LOS ALTOS CA 94024
SANTA CLARA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SUTTER DENTAL CARE DENTAL GROUP OF VISHNU SHANKAR, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14891 Primary Status: Expired
Address :
212 SUTTER ST 5TH FLOOR
SAN FRANCISCO CA 94108
SAN FRANCISCO 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: SAN BRUNO DENTAL CARE, OFFICE OF VISHNU SHANKAR, DDS
License/Registration Type: Fictitious Name Permit
License Number: 2082 Primary Status: Cancelled
Address :
211 EL CAMINO REAL
SAN BRUNO CA 94066
SAN MATEO 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: ELK GROVE DENTAL CARE DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 3372 Primary Status: Cancelled
Address :
9105 BRUCEVILLE ROAD, SUITE 8-A
ELK GROVE CA 95758
SACRAMENTO 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: LOS ALTOS DENTAL, DENTAL OFFICE OF VISHNU SHANKAR, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8059 Primary Status: Cancelled
Address :
1000 FREMONT AVENUE
STE. 130
LOS ALTOS CA 94024
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: SUTTER DENTAL CARE DENTAL GROUP OF VISHNU SHANKAR, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14891 Primary Status: Expired
Address :
212 SUTTER ST 5TH FLOOR
SAN FRANCISCO CA 94108
SAN FRANCISCO 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: ELK GROVE DENTAL CARE DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 3227 Primary Status: Cancelled
Address :
211 EL CAMINO REAL
SAN BRUNO CA 94066
SAN MATEO COUNTY
