Dental Board of California
Licensing details for: 59660
Name: KAUR, KARMJIT
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1726 TINNIN ROAD
MANTECA CA 95337
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: KAUR & BORRERO DDS DENTAL CORP
License/Registration Type: Additional Office Permit
License Number: 80314 Primary Status: Expired
Address :
1801 TULLY RD SUITE A1
MODESTO CA 95350
STANISLAUS COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SPARKLE KIDS DENTAL CARE, DENTAL OFFICE OF KAUR & BORRERO DDS DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 16288 Primary Status: Current - Active
Address :
1801 TULLY RD., STE A.1
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: SPARKLE KIDS DENTAL CARE, DENTAL OFFICE OF KAUR & BORRERO DDS DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 16288 Primary Status: Current - Active
Address :
1801 TULLY RD., STE A.1
MODESTO CA 95350
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: KAUR, KARMJIT
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2417 Primary Status: Cancelled
Address :
1801 Tully Rd
suite A
1801 TULLY RD, suite A
MODESTO CA 95350-2931
STANISLAUS COUNTY
PMS 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: Pediatric Minimal Sedation Permit
Name: KAUR, KARMJIT
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 168 Primary Status: Current - Active
Address :
1801 TULLY RD, SUITE A1
MODESTO CA 95350
STANISLAUS COUNTY
