Dental Board of California
Licensing details for: 56738
Name: SHELAT, BHAVINI HARISH
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
4232 ACCLAIM WAY
MODESTO CA 95356
STANISLAUS 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: 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
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: ALTWAL AND SHELAT DDS INC
License/Registration Type: Additional Office Permit
License Number: 80758 Primary Status: Current - Active
Address :
1317 OAKDALE ROAD SUITE 310
MODESTO CA 95355
STANISLAUS COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILEWORLD DENTAL, PRACTICE OF BHAVINI SHELAT DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 11703 Primary Status: Current - Active
Address :
4925 SISK RD STE A
SALIDA CA 95368
STANISLAUS COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WORLD DENTAL, PRACICE OF BHAVINI SHELAT DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 9711 Primary Status: Cancelled
Address :
4925 SISK ROAD
SALIDA CA 95368
STANISLAUS COUNTY
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
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CASTAIC DENTAL CENTER DENTAL GROUP OF CHARU AGGARWAL DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 15771 Primary Status: Current - Active
Address :
31886 CASTAIC ROAD
CASTAIC CA 91384
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CITY FAMILY DENTAL AND IMPLANT CENTRE DENTAL PRACTICE OF ALTWAL AND SHELAT DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 15891 Primary Status: Expired
Address :
1317 OAKDALE ROAD., SUITE 310
MODESTO CA 95355
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: CITY FAMILY DENTAL AND IMPLANT CENTRE DENTAL PRACTICE OF ALTWAL AND SHELAT DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 15891 Primary Status: Expired
Address :
1317 OAKDALE ROAD., SUITE 310
MODESTO CA 95355
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: SMILE WORLD DENTAL, PRACICE OF BHAVINI SHELAT DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 9711 Primary Status: Cancelled
Address :
4925 SISK ROAD
SALIDA CA 95368
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: SMILEWORLD DENTAL, PRACTICE OF BHAVINI SHELAT DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 11703 Primary Status: Current - Active
Address :
4925 SISK RD STE A
SALIDA CA 95368
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: 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
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: SHELAT, BHAVINI HARISH
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3032 Primary Status: Cancelled
Address :
4232 ACCLAIM WAY
MODESTO CA 95356
STANISLAUS COUNTY
