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Licensing details for: 56248

Name: SHEIKH, HASEEB NISAR

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: SHEIKH, HASEEB

Address of Record

4317 LOURMARIN LN
MODESTO CA 95356
STANISLAUS county
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Practice Location

2801 COFFEE RD BLDG- B
MODESTO CA 95355
STANISLAUS county
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Issuance Date

August 23, 2007

Expiration Date

February 28, 2027

Current Date / Time

June 7, 2025
9:54:22 AM

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: SHEIKH AND SHELAT DDS INC.

License/Registration Type: Additional Office Permit

License Number: 12061 Primary Status: Current - Active

Address :
2801 COFFEE ROAD
BLDG B
MODESTO CA 95355
STANISLAUS COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MODESTO KIDZ DENTAL, DENTAL PRACTICE OF SHEIKH AND SHELAT DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 12350 Primary Status: Current - Active

Address :
2801 COFFEE ROAD, BUILDING B
MODESTO CA 95355
STANISLAUS COUNTY

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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 KIDZ DENTAL, DENTAL PRACTICE OF SHEIKH AND SHELAT DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 12350 Primary Status: Current - Active

Address :
2801 COFFEE ROAD, BUILDING B
MODESTO CA 95355
STANISLAUS COUNTY

Map

OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: SHEIKH, HASEEB NISAR

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3044 Primary Status: Cancelled

Address :
2216 QUEBEC CT
MODESTO CA 95356
STANISLAUS COUNTY

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