Dental Board of California
Licensing details for: 591
Name: MADI, SHAHIN
License Type: Conscious Sedation
Primary Status: Cancelled
Address of Record
4320 GENESEE AVE #203
SAN DIEGO CA 92117
SAN DIEGO 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: MADI, SHAHIN
License/Registration Type: Dentist License
License Number: 56053 Primary Status: Expired
Address :
2455 Jefferson Blvd Ste 130
WEST SACRAMENTO CA 95691-5328
YOLO COUNTY
