Dental Board of California
Licensing details for: 1057
Name: SWAYAMPRAKASAM, LOGESH
License Type: Conscious Sedation
Primary Status: Cancelled
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: SWAYAMPRAKASAM, LOGESH
License/Registration Type: Dentist License
License Number: 100140 Primary Status: Current - Active
Address :
3200 Mowry avenue
Suite 102
FREMONT CA 94538
