Dental Board of California
Licensing details for: 61633
Name: KHIRIA, DIVIYA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
MS 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: Moderate Sedation Permit
Name: KHIRIA, DIVIYA
License/Registration Type: Moderate Sedation Permit
License Number: 121 Primary Status: Current - Active
Address :
1741 PROFESSIONAL DR.
SACRAMENTO CA 95825
SACRAMENTO 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: KHIRIA, DIVIYA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4102 Primary Status: Current - Active
Address :
1741 Professional Dr.
SACRAMENTO CA 95825
SACRAMENTO COUNTY
