License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LINCOLN DENTAL OFFICE, SHAHRYAR KHODAI, DDS
License/Registration Type: Fictitious Name Permit
License Number: 3628 Primary Status: Cancelled
Address :
520 COTTONWOOD STREET, STE 11
WOODLAND CA 95695
YOLO 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: LINCOLN DENTAL OFFICE, SHAHRYAR KHODAI, DDS
License/Registration Type: Fictitious Name Permit
License Number: 3628 Primary Status: Cancelled
Address :
520 COTTONWOOD STREET, STE 11
WOODLAND CA 95695
YOLO 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: KHODAI, SHAHRYAR
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1149 Primary Status: Current - Active
Address :
1980 Alamo Dr
Suite #A
VACAVILLE CA 95687-6110
SOLANO COUNTY
