Dental Board of California
Licensing details for: 50955
Name: MENON, SHAILAJA N
License Type: Dentist
Primary Status: Current - Active
Address of Record
2087 Laguna Creek Ln
PLEASANTON CA 94566-3407
ALAMEDA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILES DENTAL SPA, DENTAL GROUP OF SHAILAJA MENON, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8905 Primary Status: Expired
Address :
1431 N. TRACY BLVD.
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: SMILES DENTAL SPA, DENTAL GROUP OF SHAILAJA MENON, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8905 Primary Status: Expired
Address :
1431 N. TRACY BLVD.
TRACY CA 95376
SAN JOAQUIN COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: MENON, SHAILAJA N
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2823 Primary Status: Expired
Address :
1431 N Tracy Blvd
TRACY CA 95376-3445
SAN JOAQUIN COUNTY
