Dental Board of California
Licensing details for: 55194
Name: PATEL, PRIYA V
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
11676 Treadwell Dr
POWAY CA 92064-6134
SAN DIEGO 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: 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
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, PATEL AND GHAZAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12263 Primary Status: Cancelled
Address :
3290 ARENA BLVD, SUITE 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: 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
