Dental Board of California
Licensing details for: 53129
Name: VICUNA, SERGIO
License Type: Dentist
Primary Status: Current - Active
Address of Record
5004 S Land Park Dr
SACRAMENTO CA 95822-2504
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: 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: 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: 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: 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: 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: SERGIO VICUNA, DDS
License/Registration Type: Additional Office Permit
License Number: 82144 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: 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: SOOD AND FAREID DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81455 Primary Status: Current - Active
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: 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: SERGIO VICUNA, DDS
License/Registration Type: Additional Office Permit
License Number: 82086 Primary Status: Current - Active
Address :
3332 N. TEXAS STREET, SUITE C
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: 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: 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: 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: BAUTISTA AND LOPEZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79526 Primary Status: Expired
Address :
10910 OLSON DR STE 100
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: LOPEZ AND BAUTISTA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80514 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: 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: 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: 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: SERGIO VICUNA,DDS
License/Registration Type: Additional Office Permit
License Number: 82168 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: 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: 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: 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: 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: 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: 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: 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: BEVAN S. FAREID, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 81194 Primary Status: Current - Active
Address :
827 AKERS STREET., SUITE 104
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: SERGIO VICUNA, DDS
License/Registration Type: Additional Office Permit
License Number: 82082 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: SERGIO VICUNA, DDS
License/Registration Type: Additional Office Permit
License Number: 82041 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: 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: 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: 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: 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: 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: 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: SERGIO VICUNA, DDS
License/Registration Type: Additional Office Permit
License Number: 82191 Primary Status: Current - Active
Address :
4375 1ST STREET
LIVERMORE CA 94551
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: 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: 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: 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: 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: 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: GUEVARA-LARA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80879 Primary Status: Current - Active
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: JEONG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80954 Primary Status: Current - Active
Address :
10910 OLSON DRIVE. SUITE 100
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: SERGIO VICUNA, DDS
License/Registration Type: Additional Office Permit
License Number: 82139 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: SERGIO VICUNA, DDS
License/Registration Type: Additional Office Permit
License Number: 82141 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: 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: 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: 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: SERGIO VICUNA, DDS
License/Registration Type: Additional Office Permit
License Number: 82031 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: 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: 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: BAUTISTA AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81154 Primary Status: Current - Active
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: 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
FNP Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RANCHO CORDOVA DENTAL GROUP JEONG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16587 Primary Status: Current - Active
Address :
10910 OLSON DRIVE. SUITE 100
RANCHO CORDOVA CA 95670
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RANCHO CORDOVA DENTAL GROUP, BAUTISTA AND LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13872 Primary Status: Cancelled
Address :
10910 OLSON DR STE 100
RANCHO CORDOVA CA 95670
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF VISALIA DENTAL GROUP, BEVAN S. FAREID, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 17115 Primary Status: Current - Active
Address :
827 AKERS STREET., SUITE 104
VISALIA CA 93277
TULARE COUNTY
FNP Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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: Current - Active
Address :
2103 MCHENRY AVENUE, SUITE C
MODESTO CA 95350
STANISLAUS COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF DAVIS DENTAL GROUP, MAK AND VICUNA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18624 Primary Status: Current - Active
Address :
4625 SECOND STREET, SUITE 100
DAVIS CA 95618
YOLO COUNTY
FNP Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: RANCHO CORDOVA DENTAL GROUP JEONG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16587 Primary Status: Current - Active
Address :
10910 OLSON DRIVE. SUITE 100
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: 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: 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: 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: 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: 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: 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: 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: 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: DENTISTS OF DAVIS DENTAL GROUP, MAK AND VICUNA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18624 Primary Status: Current - Active
Address :
4625 SECOND STREET, SUITE 100
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: 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: RANCHO CORDOVA DENTAL GROUP, BAUTISTA AND LOPEZ DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13872 Primary Status: Cancelled
Address :
10910 OLSON DR STE 100
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: 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: 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: 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: 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: MODESTO MODERN DENTISTRY DENTAL GROUP, MANNEM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17060 Primary Status: Current - Active
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: 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: 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: DENTISTS OF VISALIA DENTAL GROUP, BEVAN S. FAREID, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 17115 Primary Status: Current - Active
Address :
827 AKERS STREET., SUITE 104
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: 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: 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
