Dental Board of California
Licensing details for: 61136
Name: KHETANI, JIGNA KASHYAP
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
2096 El Camino Real
SANTA CLARA CA 95050-4055
ALAMEDA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ARK DENTAL CARE DENTAL PRACTICE OF JIGNA KHETANI DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12474 Primary Status: Current - Active
Address :
2096 EL CAMINO REAL
SANTA CLARA CA 95050
SANTA CLARA 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: ARK DENTAL CARE DENTAL PRACTICE OF JIGNA KHETANI DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12474 Primary Status: Current - Active
Address :
2096 EL CAMINO REAL
SANTA CLARA CA 95050
SANTA CLARA COUNTY
