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Licensing details for: 46683

Name: SHETTY, ASHMITA

License Type: Dentist

Primary Status: Current - Active

Address of Record

2664 BERRYESSA RD. SUITE 104
SAN JOSE CA 95132
SANTA CLARA county
Map

Issuance Date

August 5, 1999

Expiration Date

July 31, 2025

Current Date / Time

June 7, 2025
9:51:44 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BERRYESSA DENTAL SPA, DENTAL OFFICE OF ASHMITA SHETTY, DDS. A PROFESSIONAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13672 Primary Status: Current - Active

Address :
2664 Berryessa Rd
Unit # 104
SAN JOSE CA 95132-2925
SANTA CLARA COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BERRYESSA DENTAL SPA, DENTAL OFFICE OF ASHMITA SHETTY, DDS.

License/Registration Type: Fictitious Name Permit

License Number: 8120 Primary Status: Cancelled

Address :
2664 BERRYESSA ROAD
STE. 104
SAN JOSE CA 95132
SANTA CLARA COUNTY

Map

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: BERRYESSA DENTAL SPA, DENTAL OFFICE OF ASHMITA SHETTY, DDS. A PROFESSIONAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13672 Primary Status: Current - Active

Address :
2664 Berryessa Rd
Unit # 104
SAN JOSE CA 95132-2925
SANTA CLARA COUNTY

Map

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: BERRYESSA DENTAL SPA, DENTAL OFFICE OF ASHMITA SHETTY, DDS.

License/Registration Type: Fictitious Name Permit

License Number: 8120 Primary Status: Cancelled

Address :
2664 BERRYESSA ROAD
STE. 104
SAN JOSE CA 95132
SANTA CLARA COUNTY

Map

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