Dental Board of California
Licensing details for: 56217
Name: BAUTISTA, REYMOND CARBONELL
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: 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: AMARDEEP GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79874 Primary Status: Current - Active
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: 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: 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: LIN AND JOHAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81335 Primary Status: Current - Active
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: 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: MICHAEL LOPEZ DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79582 Primary Status: Cancelled
Address :
2103 MCHENRY AVE STE 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 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: 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: CALICDAN AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80689 Primary Status: Current - Active
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: 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: 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: ATOARDOSHAHI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80882 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: 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: BAUTISTA AND PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81146 Primary Status: Current - Active
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: FAREID AND MOKBIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81417 Primary Status: Current - Active
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: 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: INAKSH JOHAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81472 Primary Status: Current - Active
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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: AMEZCUA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79383 Primary Status: Current - Active
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: 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: 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: PRATIK MAKADIA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80388 Primary Status: Current - Active
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: 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: 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: 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: 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: 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: 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: FAREID DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79273 Primary Status: Current - Active
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: 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: 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: 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: SIMRAN KAUR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81394 Primary Status: Current - Active
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: DHAVAL PATEL AND AMARDEEP GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81447 Primary Status: Current - Active
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: 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: RUCHI ARORA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81336 Primary Status: Current - Active
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: 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: MIN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80144 Primary Status: Cancelled
Address :
8211 BRUCEVILLE ROAD, SUITE 155
SACRAMENTO CA 95823
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: 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: 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: 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: 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: 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: 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: 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: AVALPREET DANG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81650 Primary Status: Current - Active
Address :
3630 G STREET, SUITE C
MERCED CA 95340
MERCED 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: SEUNG LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81519 Primary Status: Current - Active
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: CASTILLO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81566 Primary Status: Current - Active
Address :
10842 BEAR HOLLOW DRIVE SUITE 101
RANCHO CORDOVA CA 95670
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 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: 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 Owners
License/Registration Role: Owners
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 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: 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 Owners
License/Registration Role: Owners
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 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: 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 Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: STRAWBERRY CREEK DENTAL GROUP MIN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15096 Primary Status: Current - Active
Address :
8211 BRUCEVILLE ROAD, SUITE 155
SACRAMENTO CA 95823
SACRAMENTO 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 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 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: 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 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: MERCED MODERN DENTISTRY DENTAL GROUP, AVALPREET DANG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18164 Primary Status: Current - Active
Address :
3630 G STREET, SUITE C
MERCED CA 95340
MERCED COUNTY
FNP Owners
License/Registration Role: Owners
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 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: 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 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: 13549 Primary Status: Cancelled
Address :
2465 IRON POINT RD STE 120
FOLSOM CA 95630
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: 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: 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 Owners
License/Registration Role: Owners
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 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: 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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 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: 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 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: 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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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: Current - Active
Address :
948 DIABLO AVENUE
NOVATO CA 94947
MARIN COUNTY
FNP Owners
License/Registration Role: Owners
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 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: 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: 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 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: 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 Owners
License/Registration Role: Owners
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: Current - Active
Address :
5925 BIRDCAGE CENTRE LANE, SUITE D105
CITRUS HEIGHTS CA 95610
SACRAMENTO 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: 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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 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: 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: 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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 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: 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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 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: 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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
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 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: 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 Owners
License/Registration Role: Owners
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: Current - Active
Address :
241 W. EAST AVENUE, SUITE 1
CHICO CA 95926
BUTTE COUNTY
FNP Owners
License/Registration Role: Owners
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 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: 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: 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 Owners
License/Registration Role: Owners
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: 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: 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: 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: 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: 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: 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, 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: 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: 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: 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: 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: 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: 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: MERCED MODERN DENTISTRY DENTAL GROUP, AVALPREET DANG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18164 Primary Status: Current - Active
Address :
3630 G STREET, SUITE C
MERCED CA 95340
MERCED 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: 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: 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, 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 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: NOVATO SMILES DENTISTRY DENTAL GROUP, SEUNG LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17844 Primary Status: Current - Active
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 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: 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: 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: 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: CHICO MODERN DENTISTRY DENTAL GROUP, CALICDAN AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16054 Primary Status: Current - Active
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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: STRAWBERRY CREEK DENTAL GROUP MIN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15096 Primary Status: Current - Active
Address :
8211 BRUCEVILLE ROAD, SUITE 155
SACRAMENTO CA 95823
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: 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: 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: 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 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: 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: 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: CITRUS HEIGHTS MODERN DENTISTRY DENTAL GROUP, MOHINI PATEL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17694 Primary Status: Current - Active
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 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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
