Dental Board of California
Licensing details for: 51483
Name: KHAN, GHAZALA R
License Type: Dentist
Primary Status: Current - Active
Previous Names: KHAN, GHAZALA RAHMAN
Address of Record
327 Moffett Blvd Ste A
MOUNTAIN VIEW CA 94043-4757
SANTA CLARA 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: KHAN & SAOJI DENTAL INC.
License/Registration Type: Additional Office Permit
License Number: 81103 Primary Status: Current - Active
Address :
87 FENTON STREET,. UNIT 105
LIVERMORE CA 94550
ALAMEDA COUNTY
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: KHAN, GHAZALA R
License/Registration Type: Conscious Sedation Permit
License Number: 446 Primary Status: Cancelled
Address :
411 FUCHSIA LANE
SAN RAMON CA 94582
CONTRA COSTA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MANTECA ENDODONTICS, DENTAL PRACTICE OF GHAZALA R KHAN DDS DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 10977 Primary Status: Cancelled
Address :
295 SUN HAVEN PLACE SUITE 1
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: MANTECA ENDODONTICS, DENTAL PRACTICE OF GHAZALA R KHAN DDS DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 10977 Primary Status: Cancelled
Address :
295 SUN HAVEN PLACE SUITE 1
MANTECA CA 95337
SAN JOAQUIN COUNTY
