Dental Board of California
Licensing details for: 56401
Name: ENTABI, KHALED
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
2600 S TRACY BL
STE 170
TRACY CA 95376
SAN JOAQUIN 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: 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: KHALED ENTABI, DDS
License/Registration Type: Additional Office Permit
License Number: 82058 Primary Status: Current - Active
Address :
2682 NAGLEE RD., SUITE 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: KHALED ENTABI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81342 Primary Status: Expired
Address :
3746 FALLON ROAD
DUBLIN CA 94568
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: 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: 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: KHALED ENTABI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80859 Primary Status: Expired
Address :
3746 FALLON ROAD
DUBLIN CA 94568
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: PARULEKAR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81529 Primary Status: Current - Active
Address :
3746 Fallon Road
DUBLIN CA 94568
ALAMEDA 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: 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: FALLON DENTAL GROUP, KHALED ENTABI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16440 Primary Status: Expired
Address :
3746 FALLON ROAD
DUBLIN CA 94568
ALAMEDA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FALLON DENTAL GROUP, PARULEKAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17822 Primary Status: Current - Active
Address :
3746 FALLON ROAD
DUBLIN CA 94568
ALAMEDA 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 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: FALLON DENTAL GROUP, PARULEKAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17822 Primary Status: Current - Active
Address :
3746 FALLON ROAD
DUBLIN CA 94568
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: MY KIDS DENTIST AND ORTHODONTICS, DENTAL OFFICE OF ENTABI DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 10754 Primary Status: Current - Active
Address :
2600 S. TRACY BLVD SUITE 160
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: 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: FALLON DENTAL GROUP, KHALED ENTABI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16440 Primary Status: Expired
Address :
3746 FALLON ROAD
DUBLIN CA 94568
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 OF ENTABI DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 10731 Primary Status: Cancelled
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: 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: 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
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: ENTABI, KHALED
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3765 Primary Status: Expired
Address :
2600 S TRACY BLVD, SUITE 170
TRACY CA 95376
SAN JOAQUIN COUNTY
