Dental Board of California
Licensing details for: 50464
Name: GILL, AMARDEEP KAUR
License Type: Dentist
Primary Status: Current - Active
Address of Record
2041 Bronze Star Dr
STE 100
WOODLAND CA 95776-5427
YOLO county
Map
Practice Location
1450 E Main St
Ste 100
WOODLAND CA 95776-6201
YOLO county
Map
2041 Bronze Star Dr
Suite 100
WOODLAND CA 95776-5427
YOLO county
Map
2041 Bronze Star Dr
Suite 100
WOODLAND CA 95776-5427
YOLO county
Map
2061 Bronze Star Dr
Suite 100
WOODLAND CA 95776-5599
YOLO county
Map
3635 N Freeway Blvd
Ste 110
SACRAMENTO CA 95834
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: KNIGHT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11908 Primary Status: Current - Active
Address :
2205 FRANCISCO DRIVE
SUITE 150
EL DORADO HILLS CA 95762
EL DORADO COUNTY
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: O'DONNELL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79328 Primary Status: Current - Active
Address :
2465 IRON POINT ROAD STE 120
FOLSOM CA 95630
SACRAMENTO COUNTY
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: SERGIO VICUNA, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 79179 Primary Status: Current - Active
Address :
1804 19th St
SUITE 100
SACRAMENTO CA 95811-6700
SACRAMENTO COUNTY
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: AMARDEEP GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79874 Primary Status: Cancelled
Address :
2041 BRONZE STAR DR STE 100
WOODLAND CA 95776
YOLO COUNTY
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: AMARDEEP GILL AND DHAVAL PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80285 Primary Status: Cancelled
Address :
241 W. EAST AVE., SUITE 1
CHICO CA 95926
BUTTE COUNTY
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: DINEA-BERCI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80357 Primary Status: Current - Active
Address :
2654 MARCONI AVENUE, SUITE 100
SACRAMENTO CA 95821
SACRAMENTO COUNTY
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: ENTABI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80168 Primary Status: Current - Active
Address :
2600 S. TRACY BLVD., SUITE 170
TRACY CA 95376
SAN JOAQUIN COUNTY
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: ATOARDOSHAHI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80882 Primary Status: Expired
Address :
3601 PELANDALE AVENUE SUITE D-1
MODESTO CA 95356
STANISLAUS COUNTY
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: GHAZAL, FAREID AND SOOD DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81163 Primary Status: Cancelled
Address :
1008 W. SHAW AVENUE, SUITE 105
FRESNO CA 93711
FRESNO COUNTY
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: GILL AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81147 Primary Status: Cancelled
Address :
110 NUT TREE PARKWAY
VACAVILLE CA 95687
SOLANO COUNTY
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: TULLY AND MOKBIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81066 Primary Status: Cancelled
Address :
2228 FAIR OAKS BLVD
SACRAMENTO CA 95825
SACRAMENTO COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82291 Primary Status: Current - Active
Address :
775 Ikea Court Suite 130
WEST SACRAMENTO CA 95605
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82186 Primary Status: Current - Active
Address :
5925 BIRDCAGE CENTRE LANE SUITE D105
CITRUS HEIGHTS CA 95610
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82305 Primary Status: Current - Active
Address :
6766 Bernal Ave., Ste 560
PLEASANTON CA 94566
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82396 Primary Status: Current - Active
Address :
1193 E CHAMPLAIN DR
FRESNO CA 93720
FRESNO COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82404 Primary Status: Current - Active
Address :
2455 Jefferson Blvd Ste 130
WEST SACRAMENTO CA 95691
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82442 Primary Status: Current - Active
Address :
4129 S Mooney Blvd, Ste B
VISALIA CA 93277
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82042 Primary Status: Current - Active
Address :
784 ADMIRAL CALLAGHAN LANE
VALLEJO CA 94591
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: SZUTZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11835 Primary Status: Current - Active
Address :
401 KENILWORTH DRIVE
SUITE 960
PETALUMA CA 94952
SONOMA COUNTY
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: CAROLYN GHAZAL AND AMARDEEP GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11327 Primary Status: Expired
Address :
2808 W Monte Vista Ave
TURLOCK CA 95380-8409
STANISLAUS COUNTY
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: ISAAC NAVARRO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79373 Primary Status: Cancelled
Address :
3206 N DINUBA BLVD., SUITE F
VISALIA CA 93291
TULARE COUNTY
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: FAREID DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79273 Primary Status: Cancelled
Address :
4129 S MOONEY BLVD SUITE B
VISALIA CA 93277
TULARE COUNTY
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: MICHAEL LOPEZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 78893 Primary Status: Cancelled
Address :
2103 MCHENRY AVENUE
SUITE C
MODESTO CA 95350
STANISLAUS COUNTY
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: PRIYA PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 78874 Primary Status: Cancelled
Address :
1208 Fitzgerald Dr
PINOLE CA 94564-2252
CONTRA COSTA COUNTY
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: AHMAD MOKBIL, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80360 Primary Status: Cancelled
Address :
992 FLORIN ROAD
SACRAMENTO CA 95831
SACRAMENTO COUNTY
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: ANTONO TEANG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79477 Primary Status: Current - Active
Address :
1208 FITZGERALD DR
PINOLE CA 94564
CONTRA COSTA COUNTY
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: AHMAD MOKBIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80390 Primary Status: Cancelled
Address :
6660 LONE TREE WAY, SUITE 7
BRENTWOOD CA 94513
CONTRA COSTA COUNTY
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: STOUT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80732 Primary Status: Cancelled
Address :
3967 MISSOURI FLAT ROAD, SUITE 120
PLACERVILLE CA 95667
EL DORADO COUNTY
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: INAKSH JOHAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81472 Primary Status: Cancelled
Address :
9640 BRUCEVILLE ROAD., SUITE 101
ELK GROVE CA 95757
SACRAMENTO COUNTY
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: MAKADIA AND STOUT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81343 Primary Status: Current - Active
Address :
3967 MISSOURI FLAT ROAD., SUITE 120
PLACERVILLE CA 95667
EL DORADO COUNTY
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: SOOD AND FAREID DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81455 Primary Status: Cancelled
Address :
1193 E. CHAMPLAIN DRIVE
FRESNO CA 93720
FRESNO COUNTY
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: MOKBIL AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81690 Primary Status: Current - Active
Address :
21001 SAN RAMON VALLEY BLVD., SUITE C6
SAN RAMON CA 94583
CONTRA COSTA COUNTY
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: AMARDEEP KAUR GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82331 Primary Status: Current - Active
Address :
5494 Crossings Drive Suite 103
ROCKLIN CA 95677
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82203 Primary Status: Current - Active
Address :
4375 1ST STREET
LIVERMORE CA 94551
ALAMEDA COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82269 Primary Status: Current - Active
Address :
8472 N. Friant Road
FRESNO CA 93720
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82466 Primary Status: Current - Active
Address :
2041 Bronze Star Dr, Ste 100
WOODLAND CA 95776
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82461 Primary Status: Current - Active
Address :
948 Diablo Ave
NOVATO CA 94947
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82471 Primary Status: Current - Active
Address :
2405 Iron Point Rd., Suite 100
FOLSOM CA 95630
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82059 Primary Status: Current - Active
Address :
2682 NAGLEE RD., SUITE 110
TRACY CA 95304
SAN JOAQUIN COUNTY
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: VICUNA AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11777 Primary Status: Cancelled
Address :
2654 MARCONI AVENUE
SUITE 100
SACRAMENTO CA 95821
SACRAMENTO COUNTY
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: GHAZAL, GILL AND PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11687 Primary Status: Cancelled
Address :
4129 S MOONEY BLVD
SUITE B
VISALIA CA 93277
TULARE COUNTY
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: BRYANT VEST DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11509 Primary Status: Current - Active
Address :
1259 PLEASANT GROVE BLVD., SUITE 100
ROSEVILLE CA 95678
PLACER COUNTY
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: KAILA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79422 Primary Status: Cancelled
Address :
5925 BIRDCAGE CENTRE LANE STE D105
CITRUS HEIGHTS CA 95610
SACRAMENTO COUNTY
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: GILL AND LOPEZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79365 Primary Status: Cancelled
Address :
2503 BELL ROAD
AUBURN CA 95603
PLACER COUNTY
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: HOANG AND RHO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79397 Primary Status: Cancelled
Address :
4690 NATOMAS BLVD STE 100
SACRAMENTO CA 95835
SACRAMENTO COUNTY
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: GILL AND PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79852 Primary Status: Cancelled
Address :
2610 REYNOLDS RANCH PKWY STE 100
LODI CA 95240
SAN JOAQUIN COUNTY
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: GILL AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80359 Primary Status: Expired
Address :
110 NUT TREE PARKWAY
VACAVILLE CA 95687
SOLANO COUNTY
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: BAUTISTA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79476 Primary Status: Cancelled
Address :
4022 SUNRISE BLVD STE 160
RANCHO CORDOVA CA 95742
SACRAMENTO COUNTY
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: GILL AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79258 Primary Status: Cancelled
Address :
3967 MISSOURI FLAT RD STE 120
PLACERVILLE CA 95667
EL DORADO COUNTY
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: PANGILINAN AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79379 Primary Status: Cancelled
Address :
3332 N TEXAS ST STE 5C
FAIRFIELD CA 94533
SOLANO COUNTY
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: CALICDAN AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80689 Primary Status: Cancelled
Address :
241 W. EAST AVENUE, SUITE 1
CHICO CA 95926
BUTTE COUNTY
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: KARAMSETTY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80730 Primary Status: Cancelled
Address :
170 EL CERRITO PLAZA
EL CERRITO CA 94530
CONTRA COSTA COUNTY
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: MANNEM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81157 Primary Status: Cancelled
Address :
2103 MCHENRY AVENUE., SUITE C
MODESTO CA 95350
STANISLAUS COUNTY
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: BAUTISTA AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81154 Primary Status: Cancelled
Address :
2455 JEFFERSON BLVD. SUITE 130
WEST SACRAMENTO CA 95691
YOLO COUNTY
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: LIN AND JOHAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81335 Primary Status: Cancelled
Address :
9630 BRUCEVILLE RD SUITE 102
ELK GROVE CA 95757
SACRAMENTO COUNTY
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: GRACE MIN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80889 Primary Status: Current - Active
Address :
2660 5TH STREET, SUITE C
ALAMEDA CA 94501
ALAMEDA COUNTY
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: KUNAL SOOD DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81145 Primary Status: Expired
Address :
1095 HERNDON AVENUE. SUITE 102
CLOVIS CA 93612
FRESNO COUNTY
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: BAUTISTA AND PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81146 Primary Status: Cancelled
Address :
370 CODDINGTOWN CENTER
SANTA ROSA CA 95401
SONOMA COUNTY
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: MOKBIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81282 Primary Status: Current - Active
Address :
4022 SUNRISE BLVD SUITE 160
RANCHO CORDOVA CA 95742
SACRAMENTO COUNTY
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: TABA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81521 Primary Status: Current - Active
Address :
2808 W. Monte Vista Avenue
TURLOCK CA 95380
STANISLAUS COUNTY
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: SEUNG LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81519 Primary Status: Cancelled
Address :
948 DIABLO AVENUE
NOVATO CA 94947
MARIN COUNTY
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: SIMRAN KAUR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81394 Primary Status: Cancelled
Address :
1990 BLUE OAKS BLVD STE 100
ROSEVILLE CA 95747
PLACER COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82157 Primary Status: Current - Active
Address :
1095 HERNDON AVE. STE. 103
CLOVIS CA 93612
FRESNO COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82475 Primary Status: Current - Active
Address :
241 W. E Ave, Ste 1
CHICO CA 95926
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82420 Primary Status: Current - Active
Address :
3521 Arden Way Ste 101
SACRAMENTO CA 95864
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82025 Primary Status: Current - Active
Address :
4711 LAGUNA BLVD., SUITE 101
ELK GROVE CA 95758
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: MARK J. BROWN, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 11508 Primary Status: Cancelled
Address :
2503 BELL ROAD
AUBURN CA 95603
PLACER COUNTY
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: WATANABE AND GHAZAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79169 Primary Status: Cancelled
Address :
2465 Iron Point Rd
SUITE 120
FOLSOM CA 95630-8754
SACRAMENTO COUNTY
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: CAROLYN GHAZAL AND MICHAEL LOPEZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79535 Primary Status: Cancelled
Address :
6623 N RIVERSIDE DR STE 101
FRESNO CA 93722
FRESNO COUNTY
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: REYMOND BAUTISTA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80220 Primary Status: Expired
Address :
3640 CROCKER DRIVE, SUITE 130
SACRAMENTO CA 95818
SACRAMENTO COUNTY
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: AMARDEEP GILL AND REYMOND BAUTISTA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79541 Primary Status: Current - Active
Address :
170 EL CERRITO PLAZA
EL CERRITO CA 94530
CONTRA COSTA COUNTY
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: C.G. GHAZAL AND A.K. GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79671 Primary Status: Cancelled
Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
FRESNO COUNTY
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: GILL, BAUTISTA AND LOPEZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79563 Primary Status: Cancelled
Address :
8204 DELTA SHORES CIR S STE 140
SACRAMENTO CA 95832
SACRAMENTO COUNTY
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: LOPEZ AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80514 Primary Status: Cancelled
Address :
4375 1ST STREET
LIVERMORE CA 94551
ALAMEDA COUNTY
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: KHALED ENTABI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80859 Primary Status: Expired
Address :
3746 FALLON ROAD
DUBLIN CA 94568
ALAMEDA COUNTY
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: NAKAKI AND LIN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81144 Primary Status: Current - Active
Address :
2288 DANIELS STREET
MANTECA CA 95337
SAN JOAQUIN COUNTY
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: NAVARRO AND MELARA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80860 Primary Status: Cancelled
Address :
3206 N. DINUBA BLVD., SUITE F
VISALIA CA 93291
TULARE COUNTY
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: DHAVAL PATEL AND AMARDEEP GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81447 Primary Status: Cancelled
Address :
6766 BARNAL AVENUE., SUITE 560
PLEASANTON CA 94566
ALAMEDA COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82181 Primary Status: Current - Active
Address :
8204 DELTA SHORES CIR. S. SUITE 140
SACRAMENTO CA 95832
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82422 Primary Status: Current - Active
Address :
370 Coddingtown Center
SANTA ROSA CA 95401
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82452 Primary Status: Current - Active
Address :
4515 Fermi Pl., Suite 106
DAVIS CA 95618
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: MCMURRAY AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11678 Primary Status: Cancelled
Address :
1193 E CHAMPLAIN DRIVE
FRESNO CA 93720
FRESNO COUNTY
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: PATEL AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11693 Primary Status: Current - Active
Address :
6315 COMMERCE BLVD
ROHNERT PARK CA 94928
SONOMA COUNTY
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: BROWN AND GHAZAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11645 Primary Status: Cancelled
Address :
3967 MISSOURI FLAT ROAD
SUITE 120
PLACERVILLE CA 95667
EL DORADO COUNTY
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
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: TIMOTHY BENNETT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79212 Primary Status: Current - Active
Address :
8008 Walerga Rd Ste 100
ANTELOPE CA 95843-9003
SACRAMENTO COUNTY
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: MELANIE KIM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80658 Primary Status: Current - Active
Address :
3381 BASS LAKE ROAD, SUITE 140
EL DORADO HILLS CA 95762
EL DORADO COUNTY
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: FAREID AND MOKBIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81417 Primary Status: Cancelled
Address :
150 N. 12TH AVENUE, SUITE 109
HANFORD CA 93230
KINGS COUNTY
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: NAKAKI AND LIN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81027 Primary Status: Current - Active
Address :
2290 DANIELS STREET
MANTECA CA 95337
SAN JOAQUIN COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82225 Primary Status: Current - Active
Address :
2712 Homestead Road
SANTA CLARA CA 95051
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: PARULEKAR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81529 Primary Status: Current - Active
Address :
3746 Fallon Road
DUBLIN CA 94568
ALAMEDA COUNTY
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: CONLON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81451 Primary Status: Current - Active
Address :
3640 CROCKER DRIVE., SUITE 130
SACRAMENTO CA 95818
SACRAMENTO COUNTY
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: DENTAL CORPORATION OF JASON LEE
License/Registration Type: Additional Office Permit
License Number: 81564 Primary Status: Current - Active
Address :
8854 MADISON AVE
FAIR OAKS CA 95628
SACRAMENTO COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82222 Primary Status: Current - Active
Address :
5315 Sunrise Blvd.
FAIR OAKS CA 95628
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: DENTAL CORPORATION OF JASON LEE
License/Registration Type: Additional Office Permit
License Number: 81412 Primary Status: Cancelled
Address :
8908 MADISON AVENUE
FAIR OAKS CA 95628
SACRAMENTO COUNTY
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: CASTILLO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81566 Primary Status: Cancelled
Address :
10842 BEAR HOLLOW DRIVE SUITE 101
RANCHO CORDOVA CA 95670
SACRAMENTO COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82447 Primary Status: Current - Active
Address :
150 N. 12th Ave., Suite 109
HANFORD CA 93230
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82516 Primary Status: Current - Active
Address :
3290 Arena Blvd. Suite 610
SACRAMENTO CA 95834
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82517 Primary Status: Current - Active
Address :
10357 Fairway Dr. Suite 100
ROSEVILLE CA 95678
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82499 Primary Status: Current - Active
Address :
8854 Madison Ave.
FAIR OAKS CA 95628
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82505 Primary Status: Current - Active
Address :
1990 Blue Oaks Blvd., Ste. 100
ROSEVILLE CA 95747
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: POLUMBO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79690 Primary Status: Cancelled
Address :
3291 STANFORD RANCH ROAD, STE 102
ROCKLIN CA 95765
PLACER COUNTY
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: LOPEZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79691 Primary Status: Cancelled
Address :
3601 PELANDALE AVE, STE D1
MODESTO CA 95356
STANISLAUS COUNTY
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: FAREID AND NAVARRO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79693 Primary Status: Cancelled
Address :
1193 E. CHAMPLAIN DRIVE
FRESNO CA 93720
FRESNO COUNTY
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: ISAAC NAVARRO AND BEVAN FAREID DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79821 Primary Status: Expired
Address :
2682 NAGLEE ROAD, STE 110
TRACY CA 95304
SAN JOAQUIN COUNTY
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: PRATIK MAKADIA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80388 Primary Status: Cancelled
Address :
2610 REYNOLDS RANCH PKWY., SUITE 100
LODI CA 95240
SAN JOAQUIN COUNTY
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: SALVADOR MELARA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81271 Primary Status: Current - Active
Address :
3206 N. DINUBA BLVD., SUITE F
VISALIA CA 93291
TULARE COUNTY
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: ENTABI AND FAREID DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80956 Primary Status: Cancelled
Address :
2682 NAGLEE RD STE 110
TRACY CA 95304
SAN JOAQUIN COUNTY
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: SINGH AND PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81153 Primary Status: Current - Active
Address :
3000 DANVILLE BLVD. SUITE A
ALAMO CA 94507
CONTRA COSTA COUNTY
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: VICUNA AND MAK DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80894 Primary Status: Current - Active
Address :
4515 FERMI PLACE, SUITE 106
DAVIS CA 95618
YOLO COUNTY
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: KHALED ENTABI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81342 Primary Status: Expired
Address :
3746 FALLON ROAD
DUBLIN CA 94568
ALAMEDA COUNTY
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: DILANKUMAR PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81577 Primary Status: Current - Active
Address :
4297 CENTURY BLVD
PITTSBURG CA 94565
CONTRA COSTA COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82188 Primary Status: Current - Active
Address :
8211 BRUCEVILLE RD. STE. 155
SACRAMENTO CA 95823
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82322 Primary Status: Current - Active
Address :
1008 W Shaw Ave., Ste 105
FRESNO CA 93711
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82143 Primary Status: Current - Active
Address :
2103 MCHENRY AVE., SUITE C
MODESTO CA 95350
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82163 Primary Status: Current - Active
Address :
6660 LONE TREE WAY SUITE 7
BRENTWOOD CA 94513
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82479 Primary Status: Current - Active
Address :
9630 Bruceville Rd., Suite 102
ELK GROVE CA 95757
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: POLAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11778 Primary Status: Cancelled
Address :
2660 5TH STREET
SUITE 30
ALAMEDA CA 94501
ALAMEDA COUNTY
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: CAROLYN G. GHAZAL AND DEAN LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11870 Primary Status: Cancelled
Address :
3206 N DINUBA BOULEVARD
VISALIA CA 93291
TULARE COUNTY
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: LOPEZ AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11510 Primary Status: Cancelled
Address :
4375 1ST STREET
LIVERMORE CA 94551
ALAMEDA COUNTY
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: VICUNA AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79277 Primary Status: Current - Active
Address :
3779 E CASTRO VALLEY BLVD
CASTRO VALLEY CA 94552
ALAMEDA COUNTY
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: DHAVAL PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79267 Primary Status: Expired
Address :
3000 DANVILLE BLVD STE A
ALAMO CA 94507
CONTRA COSTA COUNTY
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: AMARDEEP GILL AND DEAN LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79190 Primary Status: Cancelled
Address :
2654 Marconi Ave
SUITE 100
SACRAMENTO CA 95821-5106
SACRAMENTO COUNTY
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: AMEZCUA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79383 Primary Status: Cancelled
Address :
3290 ARENA BLVD STE 610
SACRAMENTO CA 95834
SACRAMENTO COUNTY
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: GHAZAL AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79981 Primary Status: Cancelled
Address :
2660 5TH STREET #C
ALAMEDA CA 94501
ALAMEDA COUNTY
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: DELGADO AND O'DONNELL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79984 Primary Status: Cancelled
Address :
8908 MADISON AVENUE
FAIR OAKS CA 95628
SACRAMENTO COUNTY
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: PANGILINAN AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79378 Primary Status: Cancelled
Address :
3332 N TEXAS ST STE 5D
FAIRFIELD CA 94533
SOLANO COUNTY
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: SHEYNIE VO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79580 Primary Status: Expired
Address :
3967 MISSOURI FLAT RD STE 120
PLACERVILLE CA 95667
EL DORADO COUNTY
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: MOKBIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80511 Primary Status: Cancelled
Address :
4022 SUNRISE BLVD., SUITE 160
RANCHO CORDOVA CA 95742
SACRAMENTO COUNTY
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: RUCHI ARORA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81336 Primary Status: Cancelled
Address :
2405 IRON POINT ROAD., SUITE 100
FOLSOM CA 95630
SACRAMENTO COUNTY
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: MANPREET KAUR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80978 Primary Status: Current - Active
Address :
6623 N. RIVERSIDE DRIVE, SUITE 101
FRESNO CA 93722
FRESNO COUNTY
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: DHAVAL R. PATEL, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 81203 Primary Status: Current - Active
Address :
995 THARP ROAD, SUITE B
YUBA CITY CA 95993
SUTTER COUNTY
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: C.G. GHAZAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81283 Primary Status: Cancelled
Address :
948 DIABLO AVE
NOVATO CA 94947
MARIN COUNTY
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: NATHAN TULLY DETNAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81520 Primary Status: Current - Active
Address :
3601 PELANDALE AVENUE, SUITE D-1
MODESTO CA 95356
STANISLAUS COUNTY
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: MOHINI PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81445 Primary Status: Cancelled
Address :
5925 BIRDCAGE CENTRE LANE, SUITE D105
CITRUS HEIGHTS CA 95610
SACRAMENTO COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82084 Primary Status: Current - Active
Address :
3332 N. TEXAS STREET, SUITE D
FAIRFIELD CA 94533
SOLANO COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82142 Primary Status: Current - Active
Address :
1095 HERNDON AVE. STE. 102
CLOVIS CA 93612
FRESNO COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82510 Primary Status: Current - Active
Address :
992 Florin Rd
SACRAMENTO CA 95831
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82429 Primary Status: Current - Active
Address :
10842 Bear Hollow Drive Suite 101
RANCHO CORDOVA CA 95670
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82496 Primary Status: Current - Active
Address :
9640 Bruceville Rd., Suite 101
ELK GROVE CA 95757
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: USHA MANTENA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 78991 Primary Status: Current - Active
Address :
671 Elmira Rd
Suite 130
VACAVILLE CA 95687-4655
SOLANO COUNTY
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: KESHTKAR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79367 Primary Status: Expired
Address :
781 STERLING PARKWAY
LINCOLN CA 95648
PLACER COUNTY
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: WADHWA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80305 Primary Status: Current - Active
Address :
2503 BELL ROAD
AUBURN CA 95603
PLACER COUNTY
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: GHAZAL, GILL AND NAVARRO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79670 Primary Status: Expired
Address :
1008 W. SHAW AVE, STE 105
FRESNO CA 93711
FRESNO COUNTY
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: GILL AND LOPEZ PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80358 Primary Status: Cancelled
Address :
781 STERLING PARKWAY
LINCOLN CA 95648
PLACER COUNTY
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: AHMAD MOKBIL, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80958 Primary Status: Cancelled
Address :
2380 MONUMENT BLVD. SUITE F
PLEASANT HILL CA 94523
CONTRA COSTA COUNTY
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: GUEVARA-LARA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80879 Primary Status: Cancelled
Address :
992 FLORIN ROAD
SACRAMENTO CA 95831
SACRAMENTO COUNTY
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: RHO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80994 Primary Status: Current - Active
Address :
4690 NATOMAS BLVD STE 100
SACRAMENTO CA 95835
SACRAMENTO COUNTY
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: KUNAL SOOD DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80893 Primary Status: Cancelled
Address :
1095 HERNDON AVENUE, SUITE 102
CLOVIS CA 93612
FRESNO COUNTY
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: Alubaidi Dental Corporation
License/Registration Type: Additional Office Permit
License Number: 81391 Primary Status: Current - Active
Address :
2380 MONUMENT BLVD., SUITE F
PLEASANT HILL CA 94523
CONTRA COSTA COUNTY
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: KIRANDEEP PINKY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81640 Primary Status: Current - Active
Address :
4011 SUNRISE BLVD., SUITE B
RANCHO CORDOVA CA 95742
SACRAMENTO COUNTY
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: KHATTAK DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81440 Primary Status: Current - Active
Address :
781 STERLING PARKWAY
LINCOLN CA 95648
PLACER COUNTY
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: DENTAL CORPORATION OF AHMAD MOKBIL
License/Registration Type: Additional Office Permit
License Number: 81533 Primary Status: Current - Active
Address :
2228 Fair Oaks Blvd.
SACRAMENTO CA 92825
SACRAMENTO COUNTY
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: ZEYAD ALANI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81534 Primary Status: Current - Active
Address :
8630 SIERRA COLLEGE BLVD., SUITE 110.
ROESVILLE CA 95661
PLACER COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82200 Primary Status: Current - Active
Address :
2610 REYNOLDS RANCH PKWY. SUITE 100
LODI CA 95240
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82089 Primary Status: Current - Active
Address :
3332 N. TEXAS STREET SUITE C
FAIRFIELD CA 94533
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82177 Primary Status: Current - Active
Address :
1011 HELEN POWER DR.
VACAVILLE CA 95687
SOLANO COUNTY
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82523 Primary Status: Current - Active
Address :
10064 Bruceville Road Suite 140
ELK GROVE CA 95757
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: AMARDEEP GILL, DDS
License/Registration Type: Additional Office Permit
License Number: 82044 Primary Status: Current - Active
Address :
30941 COURTHOUSE DRIVE
UNION CITY CA 94587
ALAMEDA 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: LIVERMORE SMILES DENTISTRY AND ORTHODONTICS DENTAL GROUP - MY KID
License/Registration Type: Fictitious Name Permit
License Number: 11455 Primary Status: Cancelled
Address :
4375 1ST STREET
LIVERMORE CA 94551
ALAMEDA 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: CASTRO VALLEY SMILES DENTISTRY DENTAL GROUP, CAROLYN GHAZAL AND D
License/Registration Type: Fictitious Name Permit
License Number: 10800 Primary Status: Cancelled
Address :
3779 E CASTRO VALLEY BLVD
CASTRO VALLEY CA 94552
ALAMEDA 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: FAIRFIELD DENTIST DENTAL GROUP, GILL AND LAMBRIDIS DENTAL CORPORA
License/Registration Type: Fictitious Name Permit
License Number: 11183 Primary Status: Cancelled
Address :
3332 N TEXAS STREET
SUITE 5C
FAIRFIELD CA 94533
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: MARKET WEST DENTAL GROUP, AMEZCUA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13639 Primary Status: Current - Active
Address :
3290 ARENA BLVD STE 610
SACRAMENTO CA 95834
SACRAMENTO 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: NAGLEE DENTAL GROUP ISAAC NAVARRO AND BEVAN FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14498 Primary Status: Cancelled
Address :
2682 NAGLEE ROAD, STE 110
TRACY CA 95304
SAN JOAQUIN 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: CHAMPLAIN DENTISTRY DENTAL GROUP, FAREID AND NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14523 Primary Status: Cancelled
Address :
1193 E CHAMPLAIN DR
FRESNO CA 93720
FRESNO 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: DENTISTS OF LODI DENTAL GROUP GILL AND PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14515 Primary Status: Cancelled
Address :
2610 REYNOLDS RANCH PARKWAY #100
LODI CA 95240
SAN JOAQUIN 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: DENTISTS OF LODI DENTAL GROUP PRATIK MAKADIA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15497 Primary Status: Current - Active
Address :
2610 REYNOLDS RANCH PKWY., SUITE 100
LODI CA 95240
SAN JOAQUIN 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: MY KID'S DENTIST DENTAL GROUP, LIN AND JOHAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17618 Primary Status: Current - Active
Address :
9630 BRUCEVILLE ROAD., SUITE 102
ELK GROVE CA 95757
SACRAMENTO 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: PLEASANT HILL SMILES DENTISTRY DENTAL GROUP, AHMAD MOKBIL, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 16592 Primary Status: Cancelled
Address :
2380 MONUMENT BLVD. SUITE F
PLEASANT HILL CA 94523
CONTRA COSTA 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: FIG GARDEN DENTAL GROUP, GHAZAL AND SOOD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17333 Primary Status: Current - Active
Address :
1008 W SHAW AVE SUITE 105
FRESNO CA 93711
FRESNO 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: DENTISTS OF FAIR OAKS DENTAL GROUP, DENTAL CORPORATION OF JASON LEE
License/Registration Type: Fictitious Name Permit
License Number: 17936 Primary Status: Expired
Address :
8854 Madison Avenue
FAIR OAKS CA 95628
SACRAMENTO 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: LAND PARK MODERN DENTISTRY DENTAL GROUP, CONLON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17685 Primary Status: Current - Active
Address :
3640 CROCKER DRIVE., SUITE 130
SACRAMENTO CA 95818
SACRAMENTO 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: PLEASANTON RIDGE DENTAL GROUP, DHAVAL PATEL AND AMARDEEP GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17657 Primary Status: Current - Active
Address :
6766 BARNAL AVENUE., SUITE 560
PLEASANTON CA 94566
ALAMEDA 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: DENTISTS OF CAMPUS COMMONS DENTAL GROUP, DENTAL CORPORATION OF AHMAD MOKBIL
License/Registration Type: Fictitious Name Permit
License Number: 17898 Primary Status: Current - Active
Address :
2228 Fair Oaks Blvd.
SACRAMENTO CA 95825
SACRAMENTO 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, ZEYAD ALANI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17899 Primary Status: Current - Active
Address :
8630 Sierra College Blvd.
Suite 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: NOVATO SMILES DENTISTRY DENTAL GROUP, C.G. GHAZAL DENTAL CORPORAT
License/Registration Type: Fictitious Name Permit
License Number: 11673 Primary Status: Cancelled
Address :
948 DIABLO AVE
NOVATO CA 94947
MARIN 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: ROCKLIN MODERN DENTISTRY DENTAL GROUP, RICKY V. TRAN DENTAL CORPO
License/Registration Type: Fictitious Name Permit
License Number: 11826 Primary Status: Current - Active
Address :
5182 COMMONS DRIVE
SUITE 101
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: TRACY SMILES MODERN DENTISTRY DENTAL GROUP ENTABI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15167 Primary Status: Current - Active
Address :
2600 S. TRACY BLVD., SUITE 170
TRACY CA 95376
SAN JOAQUIN 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: PARKWAY DENTAL GROUP, KESHTKAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13598 Primary Status: Cancelled
Address :
781 STERLING PKWY
LINCOLN CA 95648
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: FAIRFIELD DENTISTS DENTAL GROUP, PANGILINAN AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13608 Primary Status: Expired
Address :
3332 N TEXAS ST STE 5C
FAIRFIELD CA 94533
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: PACKWOOD CREEK DENTAL GROUP FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13406 Primary Status: Current - Active
Address :
4129 S MOONEY BLVD STE B
VISALIA CA 93277
TULARE 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: MIDTOWN MODERN DENTAL GROUP SERGIO VICUNA, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 13205 Primary Status: Current - Active
Address :
1804 19TH STREET, STE. 100
SACRAMENTO CA 95811
SACRAMENTO 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: DENTISTS OF SANTA ROSA DENTAL GROUP, BAUTISTA AND PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17054 Primary Status: Expired
Address :
370 CODDINGTOWN CENTER
SANTA ROSA CA 95401
SONOMA 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: MODESTO MODERN DENTISTRY DENTAL GROUP, MANNEM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17060 Primary Status: Expired
Address :
2103 MCHENRY AVENUE, SUITE C
MODESTO CA 95350
STANISLAUS 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: STADIUM DENTAL GROUP, NAKAKI AND LIN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17057 Primary Status: Cancelled
Address :
2288 DANIELS STREET
MANTECA CA 95337
SAN JOAQUIN 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: CLOVIS CROSSING DENTAL GROUP, KUNAL SOOD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16480 Primary Status: Current - Active
Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
FRESNO 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: ALAMEDA LANDING DENTISTRY DENTAL GROUP, GRACE MIN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16479 Primary Status: Current - Active
Address :
2660 5TH ST, STE C
ALAMEDA CA 94501
ALAMEDA 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: GREENHAVEN MODERN DENTISTRY DENTAL GROUP, GUEVARA-LARA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17071 Primary Status: Current - Active
Address :
9920 FLORIN ROAD
SACRAMENTO CA 95831
SACRAMENTO 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: MISSOURI FLAT DENTAL GROUP, MAKADIA AND STOUT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17455 Primary Status: Current - Active
Address :
3967 MISSOURI FLAT ROAD., SUITE 120
PLACERVILLE CA 95667
EL DORADO 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: MY KID'S DENTIST DENTAL GROUP, RUCHI ARORA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17445 Primary Status: Current - Active
Address :
2405 IRON POINT ROAD., SUITE 100
FOLSOM CA 95630
SACRAMENTO 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: MISSOURI FLAT DENTAL GROUP, BROWN AND GHAZAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 11776 Primary Status: Cancelled
Address :
3967 MISSOURI FLAT ROAD
SUITE 120
PLACERVILLE CA 95667
EL DORADO 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: RIVER CITY DENTAL GROUP DELGADO AND O'DONNELL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14857 Primary Status: Expired
Address :
8908 MADISON AVE
FAIR OAKS CA 95628
SACRAMENTO 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: NUT TREE SMILES DENTISTRY AND ORTHODONTICS, DENTAL GROUP OF MANTE
License/Registration Type: Fictitious Name Permit
License Number: 10733 Primary Status: Cancelled
Address :
110 NUT TREE PARKWAY
VACAVILLE CA 95687
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: ALAMO SMILES DENTAL GROUP, BROWN AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 11037 Primary Status: Cancelled
Address :
3000 DANVILLE BLVD
SUITE A
ALAMO CA 94507
CONTRA COSTA 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: FALLON DENTAL GROUP, KARLEEN BOPARAI AND AMARDEEP GILL DENTAL COR
License/Registration Type: Fictitious Name Permit
License Number: 12357 Primary Status: Expired
Address :
3746 FALLON ROAD
DUBLIN CA 94568
ALAMEDA 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: GREEN VALLEY DENTAL GROUP KNIGHT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13241 Primary Status: Current - Active
Address :
2205 FRANCISCO DRIVE, SUITE 150
EL DORADO HILLS CA 95762
EL DORADO 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: FOLSOM HILLS DENTISTRY DENTAL GROUP, O'DONNELL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13549 Primary Status: Cancelled
Address :
2465 IRON POINT RD STE 120
FOLSOM CA 95630
SACRAMENTO 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: MODESTO MODERN DENTISTRY DENTAL GROUP MICHAEL LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12717 Primary Status: Cancelled
Address :
2103 MCHENRY AVENUE, SUITE C
MODESTO CA 95350
STANISLAUS 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: ALAMO SMILES DENTAL GROUP DHAVAL PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13407 Primary Status: Expired
Address :
3000 DANVILLE BLVD STE A
ALAMO CA 94507
CONTRA COSTA 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: GREENHAVEN MODERN DENTISTRY DENTAL GROUP AHMAD MOKBIL, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 15449 Primary Status: Cancelled
Address :
992 FLORIN ROAD
SACRAMENTO CA 95831
SACRAMENTO 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: ARDEN MODERN DENTISTRY DENTAL GROUP DINEA-BERCI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15451 Primary Status: Current - Active
Address :
2654 MARCONI AVENUE, SUITE 100
SACRAMENTO CA 95821
SACRAMENTO 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: VISALIA MODERN DENTISTRY DENTAL GROUP, SALVADOR MELARA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17148 Primary Status: Current - Active
Address :
3206 N. DINUBA BLVD., SUITE F
VISALIA CA 93291
TULARE 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: LIVERMORE SMILES DENTISTRY DENTAL GROUP - MY KID'S DENTIST, LOPEZ AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17098 Primary Status: Current - Active
Address :
4375 1ST STREET
LIVERMORE CA 94551
ALAMEDA 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: FALLON DENTAL GROUP, KHALED ENTABI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16440 Primary Status: Expired
Address :
3746 FALLON ROAD
DUBLIN CA 94568
ALAMEDA 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: TURLOCK SMILES DENTISTRY DENTAL GROUP, TABA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17845 Primary Status: Current - Active
Address :
2808 W. Monte Vista Avenue
TURLOCK CA 95380
STANISLAUS 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: MY KIDS DENTIST DENTAL GROUP, LIN, PHAM AND NAKAKI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19141 Primary Status: Current - Active
Address :
2290 DANIELS STREET
MANTECA CA 95337
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: ALAMEDA LANDING DENTISTRY, DENTAL GROUP OF POLAN DENTAL CORPORATI
License/Registration Type: Fictitious Name Permit
License Number: 12149 Primary Status: Cancelled
Address :
2660 5th St
SUITE 30
ALAMEDA CA 94501-6577
ALAMEDA 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: PLEASANT HILL SMILES DENTAL GROUP, EVA BENDER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 10601 Primary Status: Cancelled
Address :
2380 MONUMENT BOULEVARD, STE. F
PLEASANT HILL CA 94523
CONTRA COSTA 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: SOUTH RIVER DENTAL GROUP AND ORTHODONTICS, BAUTISTA AND GILL DENT
License/Registration Type: Fictitious Name Permit
License Number: 10735 Primary Status: Cancelled
Address :
2455 JEFFERSON BLVD SUITE 130
WEST SACRAMENTO CA 95691
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: FOLSOM HILLS DENTISTRY DENTAL GROUP WATANABE AND GHAZAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13372 Primary Status: Cancelled
Address :
2465 IRON POINT ROAD, STE. 120
FOLSOM CA 95630
SACRAMENTO 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: DELTA SHORES DENTISTRY DENTAL GROUP DANG AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15669 Primary Status: Expired
Address :
8204 DELTA SHORES CIRCLE S., SUITE 140
SACRAMENTO CA 95832
SACRAMENTO 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: HIGHLAND DENTAL GROUP, JOESTING DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17631 Primary Status: Current - Active
Address :
3291 STANFORD RANCH ROAD., SUITE 102
ROCKLIN CA 95765
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: DAVIS SMILES DENTISTRY DENTAL GROUP, VICUNA AND MAK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16475 Primary Status: Current - Active
Address :
4515 FERMI PLACE SUITE 106
DAVIS CA 95618
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: RIVER CITY DENTAL GROUP, DENTAL CORPORATION OF JASON LEE
License/Registration Type: Fictitious Name Permit
License Number: 17617 Primary Status: Cancelled
Address :
8908 MADISON AVENUE
FAIR OAKS CA 95628
SACRAMENTO 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: NOVATO SMILES DENTISTRY DENTAL GROUP, SEUNG LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17844 Primary Status: Expired
Address :
948 DIABLO AVENUE
NOVATO CA 94947
MARIN 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: DENTISTS OF PITTSBURG DENTAL GROUP, DILANKUMAR PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18035 Primary Status: Current - Active
Address :
4297 CENTURY BLVD
PITTSBURG CA 94565
CONTRA COSTA 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: BRENTWOOD SMILES DENTISTRY DENTAL GROUP, MOKBIL AND TAHA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19175 Primary Status: Current - Active
Address :
6660 LONE TREE WAY, SUITE 7
BRENTWOOD CA 94513
CONTRA COSTA 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: MATHER MODERN DENTISTRY DENTAL GROUP, CASTILLO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17950 Primary Status: Current - Active
Address :
10842 BEAR HOLLOW DRIVE SUITE 101
RANCHO CORDOVA CA 95670
SACRAMENTO 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: FREMONT HUB DENTISTRY DENTAL GROUP, DENTAL CORPORATION OF MOKBIL AND GILL
License/Registration Type: Fictitious Name Permit
License Number: 18964 Primary Status: Current - Active
Address :
39025 FREMONT HUB STE 340
FREMONT CA 94538
ALAMEDA 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: PETALUMA MODERN DENTISTRY DENTAL GROUP, SZUTZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 11173 Primary Status: Cancelled
Address :
401 KENILWORTH DRIVE
SUITE 960
PETALUMA CA 94952
SONOMA 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: PETALUMA MODERN DENTISTRY DENTAL GROUP, SZUTZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12076 Primary Status: Current - Active
Address :
401 KENILWORTH DRIVE, SUITE 960
PETALUMA CA 94952
SONOMA 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: DAVIS SMILES DENTISTRY DENTAL GROUP SERGIO VICUNA DENTAL CORPORAT
License/Registration Type: Fictitious Name Permit
License Number: 10985 Primary Status: Cancelled
Address :
4515 FERMI PLACE
SUITE 106
DAVIS CA 95618
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: PARK PLACE DENTAL GROUP, HOANG AND RHO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13642 Primary Status: Cancelled
Address :
4690 NATOMAS BLVD STE 100
SACRAMENTO CA 95835
SACRAMENTO 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: ARDEN MODERN DENTISTRY DENTAL GROUP AMARDEEP GILL AND DEAN LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13262 Primary Status: Cancelled
Address :
2654 MARCONI AVENUE, SUITE 100
SACRAMENTO CA 95821
SACRAMENTO 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: SIERRA SMILES DENTISTRY DENTAL GROUP WADHWA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15368 Primary Status: Current - Active
Address :
2503 BELL ROAD
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: 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: MY KID'S DENTIST DENTAL GROUP, GILL AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13501 Primary Status: Cancelled
Address :
3332 N TEXAS ST STE 5D
FAIRFIELD CA 94533
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: BRENTWOOD SMILES DENTISTRY DENTAL GROUP AHMAD MOKBIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15498 Primary Status: Cancelled
Address :
6660 LONE TREE WAY, SUITE 7
BRENTWOOD CA 94513
CONTRA COSTA 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: DENTISTS OF CAMPUS COMMONS DENTAL GROUP, TULLY AND MOKBIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16853 Primary Status: Cancelled
Address :
2228 FAIR OAKS BLVD
SACRAMENTO CA 95825
SACRAMENTO 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: MODESTO SMILES DENTISTRY DENTAL GROUP, ATOARDOSHAHI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16473 Primary Status: Expired
Address :
3601 PELANDALE AVENUE SUITE D-1
MODESTO CA 95356
STANISLAUS 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: ANATOLIA DENTAL GROUP, KIRANDEEP PINKY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18155 Primary Status: Current - Active
Address :
4011 SUNRISE BLVD., SUITE B
RANCHO CORDOVA CA 95742
SACRAMENTO 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: PLEASANT HILL SMILES DENTISTRY DENTAL GROUP ALUBAIDI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17552 Primary Status: Current - Active
Address :
2380 Monument Blvd., Suite F
PLEASANT HILL CA 94523
CONTRA COSTA 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 MODERN DENTISTRY DENTAL GROUP, SIMRAN KAUR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17810 Primary Status: Current - Active
Address :
1990 BLUE OAKS BLVD., STE 100
ROSEVILLE CA 95747
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: FALLON DENTAL GROUP, PARULEKAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17822 Primary Status: Current - Active
Address :
3746 FALLON ROAD
DUBLIN CA 94568
ALAMEDA 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: PARKWAY DENTAL GROUP, KHATTAK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17666 Primary Status: Current - Active
Address :
781 STERLING PARKWAY
LINCOLN CA 95648
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: DENTISTS OF ELK GROVE DENTAL GROUP, INAKSH JOHAL, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 19145 Primary Status: Current - Active
Address :
4711 LAGUNA BLVD., SUITE 101
ELK GROVE CA 95758
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: FIG GARDEN DENTAL GROUP GHAZAL, GILL AND NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14545 Primary Status: Cancelled
Address :
1008 W SHAW AVE STE 105
FRESNO CA 93711
FRESNO 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: ARDEN MODERN DENTISTRY DENTAL GROUP, VICUNA AND GILL DENTAL CORPO
License/Registration Type: Fictitious Name Permit
License Number: 12148 Primary Status: Cancelled
Address :
2654 Marconi Ave Ste 100
SACRAMENTO CA 95821-5106
SACRAMENTO 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: PROMENADE DENTAL GROUP AND ORTHODONTICS, GILL PROFESSIONAL DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 11412 Primary Status: Current - Active
Address :
3635 N FREEWAY BLVD
SUITE 110
SACRAMENTO CA 95834
SACRAMENTO 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: PAVILIONS DENTAL GROUP, BRYANT VEST DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 11456 Primary Status: Current - Active
Address :
1259 PLEASANT GROVE BLVD STE 100
ROSEVILLE CA 95747
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: CITRUS HEIGHTS MODERN DENTISTRY DENTAL GROUP, KAILA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13675 Primary Status: Cancelled
Address :
5925 BIRDCAGE CENTRE LN STE D105
CITRUS HEIGHTS CA 95610
SACRAMENTO 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: WALERGA DENTAL GROUP TIMOTHY BENNETT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14114 Primary Status: Current - Active
Address :
8008 WALEGRA ROAD, SUITE 100
ANTELOPE CA 95843
SACRAMENTO 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: VACAVILLE DENTISTRY DENTAL GROUP, USHA MANTENA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13900 Primary Status: Expired
Address :
671 ELMIRA ROAD, SUITE 130
VACAVILLE CA 95687
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: ALAMEDA LANDING DENTISTRY DENTAL GROUP GHAZAL AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14817 Primary Status: Cancelled
Address :
2660 5TH ST STE C
ALAMEDA CA 94501
ALAMEDA 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: PARKWAY DENTAL GROUP GILL AND LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15447 Primary Status: Cancelled
Address :
781 STERLING PARKWAY
LINCOLN CA 95648
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: PINOLE MODERN DENTISTRY DENTAL GROUP, ANTONO TEANG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13755 Primary Status: Current - Active
Address :
1208 FITZGERALD DR
PINOLE CA 94564
CONTRA COSTA 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: RANCHO CORDOVA SMILES DENTISTRY DENTAL GROUP, BAUTISTA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13756 Primary Status: Cancelled
Address :
4022 SUNRISE BLVD STE 160
RANCHO CORDOVA CA 95742
SACRAMENTO 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: CHICO MODERN DENTISTRY DENTAL GROUP, CALICDAN AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16054 Primary Status: Expired
Address :
241 W. EAST AVENUE, SUITE 1
CHICO CA 95926
BUTTE 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: PARK PLACE DENTAL GROUP, RHO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16160 Primary Status: Current - Active
Address :
4690 NATOMAS BLVD., SUITE 100
SACRAMENTO CA 95835
SACRAMENTO 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: MISSOURI FLAT DENTAL GROUP, STOUT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16164 Primary Status: Cancelled
Address :
3967 MISSOURI FLAT ROAD., SUITE 120
PLACERVILLE CA 95667
EL DORADO 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: DENTISTS OF EL CERRITO PLAZA DENTAL GROUP, KARAMSETTY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16161 Primary Status: Cancelled
Address :
170 EL CERRITO PLAZA
EL CERRITO CA 94530
CONTRA COSTA 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: ALAMO SMILES DENTAL GROUP, SINGH AND PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17058 Primary Status: Current - Active
Address :
3000 DANVILLE BLVD. SUITE A
ALAMO CA 94507
CONTRA COSTA 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: NAGLEE DENTAL GROUP, ENTABI AND FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16562 Primary Status: Current - Active
Address :
2682 NAGLEE ROAD. SUITE 110
TRACY CA 95304
SAN JOAQUIN 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: STADIUM DENTAL GROUP, NAKAKI AND LIN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16749 Primary Status: Cancelled
Address :
2290 DANIELS STREET
MANTECA CA 95337
SAN JOAQUIN 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: YUBA CITY MODERN DENTISTRY DENTAL GROUP, DHAVAL R. PATEL, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 17143 Primary Status: Current - Active
Address :
995 THARP ROAD, SUITE B
YUBA CITY CA 95993
SUTTER 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: NOVATO SMILES DENTISTRY DENTAL GROUP, C.G. GHAZAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17332 Primary Status: Cancelled
Address :
948 DIABLO AVE
NOVATO CA 94947
MARIN 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: DENTISTS OF HANFORD DENTAL GROUP, FAREID AND MOKBIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17741 Primary Status: Current - Active
Address :
150 N. 12TH AVENUE, SUITE 109
HANFORD CA 93230
KINGS 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: ELK GROVE DENTAL GROUP - MY KIDS DENTIST, INAKSH JOHAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17659 Primary Status: Current - Active
Address :
9640 BRUCEVILLE ROAD., SUITE 101
ELK GROVE CA 95757
SACRAMENTO 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: FOLSOM HILLS DENTISTRY DENTAL GROUP, O'DONNELL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19190 Primary Status: Current - Active
Address :
2465 IRON POINT RD. SUITE 120
FOLSOM CA 95630
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: PLEASANT GROVE DENTAL GROUP, DENTAL CORPORATION OF DHAVAL PATEL
License/Registration Type: Fictitious Name Permit
License Number: 18971 Primary Status: Current - Active
Address :
10357 FAIRWAY DRIVE, SUITE 100
ROSEVILLE CA 95678
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: DENTISTS OF ARDEN DENTAL GROUP YUN HWAN OH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15082 Primary Status: Current - Active
Address :
3521 ARDEN WAY, SUITE 101
SACRAMENTO CA 95864
SACRAMENTO 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: TURLOCK SMILES DENTISTRY AND ORTHODONTICS DENTAL GROUP CAROLYN GH
License/Registration Type: Fictitious Name Permit
License Number: 11011 Primary Status: Expired
Address :
2808 W MONTE VISTA AVENUE
TURLOCK CA 95380
STANISLAUS 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: MY KID'S DENTIST DENTAL GROUP, PANGILINAN AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13610 Primary Status: Expired
Address :
3332 N TEXAS ST STE 5D
FAIRFIELD CA 94533
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: PINOLE MODERN DENTISTRY DENTAL GROUP PRIYA PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12718 Primary Status: Cancelled
Address :
1208 FITZGERALD DRIVE
PINOLE CA 94564
CONTRA COSTA 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: WOODLAND SMILES DENTISTRY DENTAL GROUP AMARDEEP GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14573 Primary Status: Current - Active
Address :
2041 BRONZE STAR DR STE 100
WOODLAND CA 95776
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: MODESTO MODERN DENTISTRY DENTAL GROUP, MICHAEL LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14015 Primary Status: Expired
Address :
2103 MCHENRY AVE STE C
MODESTO CA 95350
STANISLAUS 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: VISALIA MODERN DENTISTRY DENTAL GROUP, ISAAC NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13609 Primary Status: Cancelled
Address :
3206 N DINUBA BLVD STE F
VISALIA CA 93291
TULARE 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: DELTA SHORES DENTISTRY DENTAL GROUP, GILL, BAUTISTA AND LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13954 Primary Status: Cancelled
Address :
8204 DELTA SHORES CIRCLE S. STE 140
SACRAMENTO CA 95832
SACRAMENTO 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: NUT TREE SMILES DENTISTRY DENTAL GROUP GILL AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15446 Primary Status: Expired
Address :
110 NUT TREE PARKWAY
VACAVILLE CA 95687
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: MARKETPLACE SMILES DENTISTRY DENTAL GROUP, CAROLYN GHAZAL AND MICHAEL LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13903 Primary Status: Current - Active
Address :
6623 N RIVERSIDE DR STE 101
FRESNO CA 93722
FRESNO 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: RANCHO CORDOVA SMILES DENTISTRY DENTAL GROUP MOKBIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15676 Primary Status: Cancelled
Address :
4022 SUNRISE BLVD., SUITE 160
RANCHO CORDOVA CA 95742
SACRAMENTO 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: DENTISTS OF SAN RAMON DENTAL GROUP, MOKBIL AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18298 Primary Status: Current - Active
Address :
21001 SAN RAMON VALLEY BLVD., SUITE C6
SAN RAMON CA 94583
CONTRA COSTA 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: CITRUS HEIGHTS MODERN DENTISTRY DENTAL GROUP, MOHINI PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17694 Primary Status: Expired
Address :
5925 BIRDCAGE CENTRE LANE, SUITE D105
CITRUS HEIGHTS CA 95610
SACRAMENTO 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: DENTISTS OF VALLEJO DENTAL GROUP, MAKKIYAH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19119 Primary Status: Current - Active
Address :
784 ADMIRAL CALLAGHAN LANE
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: MODESTO SMILES DENTISTRY DENTAL GROUP, LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14248 Primary Status: Cancelled
Address :
3601 PELANDALE AVE STE D-1
MODESTO CA 95356
STANISLAUS 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: CHAMPLAIN DENTISTRY DENTAL GROUP MCMURRAY AND GILL DENTAL CORPORA
License/Registration Type: Fictitious Name Permit
License Number: 12146 Primary Status: Cancelled
Address :
1193 E Champlain Dr
FRESNO CA 93720-5010
FRESNO 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: ROHNERT PARK SMILES DENTISTRY DENTAL GROUP, PATEL AND GILL DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 12017 Primary Status: Current - Active
Address :
6315 COMMERCE BLVD
ROHNERT PARK CA 94928
SONOMA 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: FALLON DENTAL GROUP, KARLEEN BOPARAI AND AMARDEEP GILL DENTAL COR
License/Registration Type: Fictitious Name Permit
License Number: 11277 Primary Status: Cancelled
Address :
3746 FALLON ROAD
DUBLIN CA 94568
ALAMEDA 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: CLOVIS CROSSING DENTAL GROUP - MY KID'S DENTIST, C.G. GHAZAL AND
License/Registration Type: Fictitious Name Permit
License Number: 11276 Primary Status: Cancelled
Address :
1095 HERNDON AVENUE
SUITE 102
CLOVIS CA 93612
FRESNO 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: SIERRA SMILES DENTISTRY DENTAL GROUP, GILL AND LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13596 Primary Status: Expired
Address :
2503 BELL RD
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: CASTRO VALLEY SMILES DENTISTRY DENTAL GROUP, VICUNA AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13466 Primary Status: Current - Active
Address :
3779 E CASTRO VALLEY BLVD
CASTRO VALLEY CA 94552
ALAMEDA 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: HIGHLAND DENTAL GROUP, POLUMBO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14250 Primary Status: Cancelled
Address :
3291 STANFORD RANCH RD STE 102
ROCKLIN CA 95765
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: LAND PARK MODERN DENTISTRY DENTAL GROUP REYMOND BAUTISTA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15201 Primary Status: Cancelled
Address :
3640 CROCKER DRIVE, SUITE 130
SACRAMENTO CA 95818
SACRAMENTO 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: CHICO MODERN DENTISTRY DENTAL GROUP AMARDEEP GILL AND DHAVAL PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15330 Primary Status: Cancelled
Address :
241 W. EAST AVE., SUITE 1
CHICO CA 95926
BUTTE 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: MISSOURI FLAT DENTAL GROUP GILL AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13451 Primary Status: Cancelled
Address :
3967 MISSOURI FLAT RD STE 120
PLACERVILLE CA 95667
EL DORADO 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: DENTISTS OF EL CERRITO PLAZA DENTAL GROUP, AMARDEEP GILL AND REYMOND BAUTISTA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13926 Primary Status: Current - Active
Address :
170 EL CERRITO PLAZA
EL CERRITO CA 94530
CONTRA COSTA 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: MISSOURI FLAT DENTAL GROUP, SHEYNIE VO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14005 Primary Status: Expired
Address :
3967 MISSOURI FLAT RD STE 120
PLACERVILLE CA 95667
EL DORADO 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: DENTISTS OF EL DORADO HILLS DENTAL GROUP, MELANIE KIM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15971 Primary Status: Current - Active
Address :
3381 BASS LAKE ROAD, SUITE 140
EL DORADO HILLS CA 95762
EL DORADO 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: CLOVIS MODERN DENTISTRY DENTAL GROUP, RIGOR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15760 Primary Status: Current - Active
Address :
2320 CLOVIS AVENUE, SUITE 102
CLOVIS CA 93612
FRESNO 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: VISALIA MODERN DENTISTRY DENTAL GROUP, NAVARRO AND MELARA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16441 Primary Status: Expired
Address :
3206 N. DINUBA BLVD., SUITE F
VISALIA CA 93291
TULARE 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: SOUTH RIVER DENTAL GROUP, BAUTISTA AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17059 Primary Status: Current - Active
Address :
2455 JEFFERSON BLVD. SUITE 130
WEST SACRAMENTO CA 95691
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: NUT TREE SMILES DENTISTRY DENTAL GROUP, GILL AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17055 Primary Status: Expired
Address :
110 NUT TREE PARKWAY
VACAVILLE CA 95687
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: RANCHO CORDOVA SMILES DENTISTRY DENTAL GROUP, MOKBIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17908 Primary Status: Current - Active
Address :
4022 SUNRISE BLVD SUITE 160
RANCHO CORDOVA CA 95742
SACRAMENTO 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: CHAMPLAIN DENTISTRY DENTAL GROUP, SOOD AND FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17689 Primary Status: Current - Active
Address :
1193 E. CHAMPLAIN DRIVE
FRESNO CA 93720
FRESNO 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: DENTISTS OF WOODLAND DENTAL GROUP, MACCHIARELLA AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18660 Primary Status: Current - Active
Address :
1450 E. MAIN STREET, SUITE 100
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: MODESTO SMILES DENTISTRY DENTAL GROUP, NATHAN TULLY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17843 Primary Status: Current - Active
Address :
3601 Pelandale Avenue
Suite D-1
MODESTO CA 95356
STANISLAUS 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: CITRUS HEIGHTS SMILES DENTISTRY DENTAL GROUP, HIBBA BAJWA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18648 Primary Status: Current - Active
Address :
6920 AUBURN BLVD., SUITE 100
CITRUS HEIGHTS CA 95621
SACRAMENTO 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: DENTISTS OF FOLSOM DENTAL GROUP, MOKBIL AND VICUNA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18683 Primary Status: Current - Active
Address :
1016 RILEY STREET, SUITE 1
FOLSOM CA 95630
SACRAMENTO 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: STADIUM DENTAL GROUP, LIN, PHAM AND NAKAKI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19109 Primary Status: Current - Active
Address :
2288 DANIELS STREET
MANTECA CA 95337
SAN JOAQUIN 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: CLOVIS CROSSING DENTAL GROUP, C.G. GHAZAL AND A.K. GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14546 Primary Status: Cancelled
Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
FRESNO 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: VISALIA MODERN DENTISTRY DENTAL GROUP CAROLYN G. GHAZAL AND DEAN
License/Registration Type: Fictitious Name Permit
License Number: 12155 Primary Status: Cancelled
Address :
3206 N Dinuba Blvd Ste F
VISALIA CA 93291-8730
TULARE 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: PACKWOOD CREEK DENTAL GROUP GHAZAL, GILL AND PATEL DENTAL CORPORA
License/Registration Type: Fictitious Name Permit
License Number: 12147 Primary Status: Cancelled
Address :
4129 S. MOONEY BLVD, SUITE B
VISALIA CA 93277
TULARE COUNTY
