
Dental Board of California
Licensing details for: 446
Name: KHAN, GHAZALA R
License Type: Conscious Sedation
Primary Status: Cancelled
Previous Names: KHAN, GHAZALA RAHMAN
Address of Record
411 FUCHSIA LANE
SAN RAMON CA 94582
CONTRA COSTA county
Map
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: KHAN, GHAZALA R
License/Registration Type: Dentist License
License Number: 51483 Primary Status: Current - Active
Address :
327 Moffett Blvd Ste A
MOUNTAIN VIEW CA 94043-4757
SANTA CLARA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MANTECA ENDODONTICS, DENTAL PRACTICE OF GHAZALA R KHAN DDS DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 10977 Primary Status: Cancelled
Address :
295 SUN HAVEN PLACE SUITE 1
MANTECA CA 95337
SAN JOAQUIN COUNTY