Dental Board of California
Licensing details for: 42058
Name: KAHBODY, TARANEH
License Type: Dentist
Primary Status: Current - Active
Address of Record
4690 Natomas Blvd
Ste 100
SACRAMENTO CA 95835-2230
SACRAMENTO 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: KAHBODY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79189 Primary Status: Cancelled
Address :
8630 Sierra College Blvd
SUITE 110
ROSEVILLE CA 95661-6062
PLACER COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE DESIGNS OF ROCKLIN, DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 5181 Primary Status: Cancelled
Address :
6000 FAIRWAY, STE 18
ROCKLIN CA 95677
PLACER COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GRANITE BAY SMILES DENTISTRY DENTAL GROUP KAHBODY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13264 Primary Status: Cancelled
Address :
8630 SIERRA COLLEGE BOULEVARD, STE 110
ROSEVILLE CA 95661
PLACER 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: SMILE DESIGNS OF ROCKLIN, DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 5181 Primary Status: Cancelled
Address :
6000 FAIRWAY, STE 18
ROCKLIN CA 95677
PLACER 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: GRANITE BAY SMILES DENTISTRY DENTAL GROUP KAHBODY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13264 Primary Status: Cancelled
Address :
8630 SIERRA COLLEGE BOULEVARD, STE 110
ROSEVILLE CA 95661
PLACER 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: KAHBODY, TARANEH
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 895 Primary Status: Current - Active
Address :
4690 Natomas Blvd
Ste 100
SACRAMENTO CA 95835-2230
PLACER COUNTY
