Dental Board of California
Licensing details for: 64200
Name: DAO, SHANNIKA TRICIA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Residency
Secondary Status: Licensure by Residency
Address of Record
2695 Bechelli Ln
REDDING CA 96002-0926
SHASTA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: AUTHENTIC DENTAL STUDIO DENTAL OFFICE OF DR. DAO
License/Registration Type: Fictitious Name Permit
License Number: 14548 Primary Status: Current - Active
Address :
2695 BECHELLI LANE
REDDING CA 96002
SHASTA 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: AUTHENTIC DENTAL STUDIO DENTAL OFFICE OF DR. DAO
License/Registration Type: Fictitious Name Permit
License Number: 14548 Primary Status: Current - Active
Address :
2695 BECHELLI LANE
REDDING CA 96002
SHASTA COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: MCCRACKEN, CANDACE LYNN
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 661 Primary Status: Current - Active
Address Not Disclosed
