Dental Board of California
Licensing details for: 56373
Name: SANDHU, SHABAZ
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: SANDHU, SHABAZ
License/Registration Type: General Anesthesia Permit
License Number: 1707 Primary Status: Cancelled
Address :
2954 INDIANAPOLIS AVE
CLOVIS CA 93611
FRESNO COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: SANDHU, SHABAZ
License/Registration Type: General Anesthesia Permit
License Number: 1925 Primary Status: Current - Active
Address :
1130 Coffee Rd
Suite 7-B
MODESTO CA 95355-4228
STANISLAUS COUNTY
