Dental Board of California
Licensing details for: 63130
Name: DALLA, DEVAN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
3108 E PINTAIL WAY
ELK GROVE CA 95757
SACRAMENTO 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: DALLA GILL DENTAL INC
License/Registration Type: Additional Office Permit
License Number: 81721 Primary Status: Current - Active
Address :
58 W COURT STREET
WOODLAND CA 95695
YOLO 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: DEVAN DALLA, DDS
License/Registration Type: Additional Office Permit
License Number: 80586 Primary Status: Cancelled
Address :
601 W KETTLEMAN LANE
LODI CA 95240
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: DEVAN DALLA, DDS
License/Registration Type: Additional Office Permit
License Number: 81975 Primary Status: Current - Active
Address :
10360 TWIN CITIES ROAD #10
GALT CA 95632
SACRAMENTO 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: DEVAN DALLA, DDS
License/Registration Type: Additional Office Permit
License Number: 82159 Primary Status: Current - Active
Address :
2750 N TEXAS STREET #360
FAIRFIELD CA 94533
SOLANO 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: DEVAN DALLA, DDS
License/Registration Type: Additional Office Permit
License Number: 82147 Primary Status: Current - Active
Address :
917 TRANCAS ST
NAPA CA 94558
NAPA 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: GILL DALLA DENTAL INC
License/Registration Type: Additional Office Permit
License Number: 81720 Primary Status: Current - Active
Address :
601 W KETTLEMAN LANE
LODI CA 95240
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: DEVAN DALLA, DDS
License/Registration Type: Additional Office Permit
License Number: 82111 Primary Status: Current - Active
Address :
9098 LAGUNA MAIN ST , #8
ELK GROVE CA 95758
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: DALLA GILL DENTAL INC
License/Registration Type: Additional Office Permit
License Number: 80007 Primary Status: Cancelled
Address :
58 W COURT STREET
WOODLAND CA 95695
YOLO COUNTY
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: DALLA, DEVAN
License/Registration Type: Conscious Sedation Permit
License Number: 1122 Primary Status: Cancelled
Address :
2733 ELK GROVE BLVD SUITE 180
ELK GROVE CA 95758
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DNTL HUB DENTAL PRACTICE OF DALLA DENTAL GROUP GALT INC.
License/Registration Type: Fictitious Name Permit
License Number: 19089 Primary Status: Current - Active
Address :
10360 TWIN CITIES ROAD #10
GALT CA 95632
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: WOODLAND FAMILY DENTAL GROUP DALLA
License/Registration Type: Fictitious Name Permit
License Number: 18479 Primary Status: Current - Active
Address :
58 W COURT STREET
WOODLAND CA 95965
BUTTE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ORA DENTISTRY
License/Registration Type: Fictitious Name Permit
License Number: 13382 Primary Status: Current - Active
Address :
2733 ELK GROVE BLVD STE 180
ELK GROVE CA 95758
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SUNRISE DENTAL & IMPLANT CENTER, DENTAL OFFICE OF DALLA DENTAL GROUP FAIRFIELD INC.
License/Registration Type: Fictitious Name Permit
License Number: 19461 Primary Status: Current - Active
Address :
2750 N TEXAS STREET #360
FAIRFIELD CA 94533
SOLANO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALORA DENTISTRY, DENTAL OFFICE OF DALLA DENTAL GROUP NAPA INC.
License/Registration Type: Fictitious Name Permit
License Number: 19457 Primary Status: Current - Active
Address :
917 TRANCAS ST
NAPA CA 94558
NAPA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LAGUNA WEST DENTAL CARE DENTAL OFFICE OF DR. DEVAN DALLA
License/Registration Type: Fictitious Name Permit
License Number: 18991 Primary Status: Current - Active
Address :
9098 LAGUNA MAIN ST , #8
ELK GROVE CA 95758
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MODERN DENTAL AND IMPLANTS, DENTAL OFFICE OF GILL DALLA DENTAL INC.
License/Registration Type: Fictitious Name Permit
License Number: 18480 Primary Status: Current - Active
Address :
601 W KETTLEMAN LANE
LODI CA 95240
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: ORA DENTISTRY
License/Registration Type: Fictitious Name Permit
License Number: 13382 Primary Status: Current - Active
Address :
2733 ELK GROVE BLVD STE 180
ELK GROVE CA 95758
SACRAMENTO 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: WOODLAND FAMILY DENTAL GROUP DALLA
License/Registration Type: Fictitious Name Permit
License Number: 18479 Primary Status: Current - Active
Address :
58 W COURT STREET
WOODLAND CA 95965
BUTTE 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: LAGUNA WEST DENTAL CARE DENTAL OFFICE OF DR. DEVAN DALLA
License/Registration Type: Fictitious Name Permit
License Number: 18991 Primary Status: Current - Active
Address :
9098 LAGUNA MAIN ST , #8
ELK GROVE CA 95758
SACRAMENTO 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: MODERN DENTAL AND IMPLANTS, DENTAL OFFICE OF GILL DALLA DENTAL INC.
License/Registration Type: Fictitious Name Permit
License Number: 18480 Primary Status: Current - Active
Address :
601 W KETTLEMAN LANE
LODI CA 95240
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: DNTL HUB DENTAL PRACTICE OF DALLA DENTAL GROUP GALT INC.
License/Registration Type: Fictitious Name Permit
License Number: 19089 Primary Status: Current - Active
Address :
10360 TWIN CITIES ROAD #10
GALT CA 95632
SACRAMENTO 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: ALORA DENTISTRY, DENTAL OFFICE OF DALLA DENTAL GROUP NAPA INC.
License/Registration Type: Fictitious Name Permit
License Number: 19457 Primary Status: Current - Active
Address :
917 TRANCAS ST
NAPA CA 94558
NAPA 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: NAPA VALLEY DENTAL GROUP DEVAN DALLA DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 13373 Primary Status: Cancelled
Address :
2119 JEFFERSON STREET
NAPA CA 94559
NAPA 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: SUNRISE DENTAL & IMPLANT CENTER, DENTAL OFFICE OF DALLA DENTAL GROUP FAIRFIELD INC.
License/Registration Type: Fictitious Name Permit
License Number: 19461 Primary Status: Current - Active
Address :
2750 N TEXAS STREET #360
FAIRFIELD CA 94533
SOLANO COUNTY
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: DALLA, DEVAN
License/Registration Type: Moderate Sedation Permit
License Number: 305 Primary Status: Current - Active
Address :
2733 ELK GROVE BLVD, STE 180
ELK GROVE CA 95758
SACRAMENTO COUNTY
