Dental Board of California
Licensing details for: 39788
Name: DUTT, PRANAB K
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Reduced Renewal Fee
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CLOCKTOWER DENTAL GROUP, PRANAB K DUTT, DDS, A
License/Registration Type: Fictitious Name Permit
License Number: 4670 Primary Status: Cancelled
Address :
1540 SOUTH IMPERIAL AVE
EL CENTRO CA 92243
IMPERIAL 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: CLOCKTOWER DENTAL GROUP, PRANAB K DUTT, DDS, A
License/Registration Type: Fictitious Name Permit
License Number: 4670 Primary Status: Cancelled
Address :
1540 SOUTH IMPERIAL AVE
EL CENTRO CA 92243
IMPERIAL COUNTY
