Dental Board of California
Licensing details for: 47541
Name: OKHOVAT, SIAMAK
License Type: Dentist
Primary Status: Current - Active
Previous Names: DR. OKHOVAT, SIAMAK
Address of Record
2231 Douglas Blvd
STE 110
ROSEVILLE CA 95661-4264
PLACER county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ROSEVILLE TOPSMILES DENTAL PRACTICE OF OKHOVAT PROFESSIONAL DENTA
License/Registration Type: Fictitious Name Permit
License Number: 10041 Primary Status: Cancelled
Address :
2110 PROFESSIONAL DRIVE, STE. 115
ROSEVILLE CA 95661
PLACER COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ROSEVILLE TOPSMILES DENTAL PRACTICE OF OKHOVAT PROFESSIONAL DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 18524 Primary Status: Current - Active
Address :
2231 DOUGLAS BLVD., SUITE 110
ROSEVILLE CA 95661
PLACER COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: COURTYARD DENTAL CARE DENTAL OFFICE OF OKHOVAT DENTAL PRACTICE OF AUBURN
License/Registration Type: Fictitious Name Permit
License Number: 18521 Primary Status: Current - Active
Address :
11990 HERITAGE OAK PLACE., STE 12
AUBURN CA 95603
PLACER COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RENAISSANCE DENTAL PRACTICE OF SIAMAK OKHOVAT, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 6835 Primary Status: Cancelled
Address :
3984 DOUGLAS BLVD.
STE. 170
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: RENAISSANCE DENTAL PRACTICE OF SIAMAK OKHOVAT, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 6835 Primary Status: Cancelled
Address :
3984 DOUGLAS BLVD.
STE. 170
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: ROSEVILLE TOPSMILES DENTAL PRACTICE OF OKHOVAT PROFESSIONAL DENTA
License/Registration Type: Fictitious Name Permit
License Number: 10041 Primary Status: Cancelled
Address :
2110 PROFESSIONAL DRIVE, STE. 115
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: COURTYARD DENTAL CARE DENTAL OFFICE OF OKHOVAT DENTAL PRACTICE OF AUBURN
License/Registration Type: Fictitious Name Permit
License Number: 18521 Primary Status: Current - Active
Address :
11990 HERITAGE OAK PLACE., STE 12
AUBURN CA 95603
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: ROSEVILLE TOPSMILES DENTAL PRACTICE OF OKHOVAT PROFESSIONAL DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 18524 Primary Status: Current - Active
Address :
2231 DOUGLAS BLVD., SUITE 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: OKHOVAT, SIAMAK
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2256 Primary Status: Current - Active
Address :
2231 Douglas Blvd
STE 110
ROSEVILLE CA 95661-4264
PLACER COUNTY
