License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PLACERVILLE DENTAL CARE, PRACTICE OF GUGALE & AZOUZ DENTAL GROUP OF PLACERVILLE, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14030 Primary Status: Current - Active
Address :
941 SPRING ST STE 6
PLACERVILLE CA 95667
EL DORADO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ADVANCED DENTISTRY OF WOODLAND, DENTAL OFFICE OF GUGALE & AZOUZ D
License/Registration Type: Fictitious Name Permit
License Number: 11070 Primary Status: Cancelled
Address :
255 W COURT STREET
SUITE C
WOODLAND CA 95695
YOLO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: WHEATLAND DENTAL CARE DENTAL OFFICE OF GUGALE DENTAL INC.
License/Registration Type: Fictitious Name Permit
License Number: 13139 Primary Status: Current - Active
Address :
615 OLIVE STREET
WHEATLAND CA 95692
YUBA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VALLEJO FAMILY DENTISTRY DENTAL GROUP OF KATARIA DENTAL INC.
License/Registration Type: Fictitious Name Permit
License Number: 17493 Primary Status: Current - Active
Address :
23 ROTARY WAY
VALLEJO CA 94591
SOLANO 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: WHEATLAND DENTAL CARE DENTAL OFFICE OF GUGALE DENTAL INC.
License/Registration Type: Fictitious Name Permit
License Number: 13139 Primary Status: Current - Active
Address :
615 OLIVE STREET
WHEATLAND CA 95692
YUBA 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: VALLEJO FAMILY DENTISTRY DENTAL GROUP OF KATARIA DENTAL INC.
License/Registration Type: Fictitious Name Permit
License Number: 17493 Primary Status: Current - Active
Address :
23 ROTARY WAY
VALLEJO CA 94591
SOLANO 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: ADVANCED DENTISTRY OF WOODLAND, DENTAL OFFICE OF GUGALE & AZOUZ D
License/Registration Type: Fictitious Name Permit
License Number: 11070 Primary Status: Cancelled
Address :
255 W COURT STREET
SUITE C
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: PLACERVILLE DENTAL CARE, PRACTICE OF GUGALE & AZOUZ DENTAL GROUP OF PLACERVILLE, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14030 Primary Status: Current - Active
Address :
941 SPRING ST STE 6
PLACERVILLE CA 95667
EL DORADO 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: GUGALE, MONIKA SACHIN
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2811 Primary Status: Cancelled
Address :
615 OLIVE STREET
WHEATLAND CA 95692
YUBA COUNTY
