Dental Board of California
Licensing details for: 64979
Name: KANSAGRA, KRISHNA P
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: KANSAGRA, KRISHNA PRAVINKUMAR
Address of Record
168 N Euclid Ave
UPLAND CA 91786-6035
SAN BERNARDINO county
Map
License Relationships
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: KANSAGRA, KRISHNA P
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4084 Primary Status: Cancelled
Address :
16946 Marygold Ave
FONTANA CA 92335-1724
SAN BERNARDINO COUNTY
