Dental Board of California
Licensing details for: 1654
Name: GESICHO, GLADYS KWAMBOKA
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Adult
Address of Record
2889 DORAL WAY
TURLOCK CA 95382
STANISLAUS county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DR GESICHO'S HAWKEYE FAMILY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 3662 Primary Status: Cancelled
Address :
711 E HAWKEYE AVE, STE 2
TURLOCK CA 95380
STANISLAUS COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HAWKEYE FAMILY DENTAL PRACTICE, GLADYS K GESICHO, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 5464 Primary Status: Current - Active
Address :
711 E HAWKEYE AVE, STE 2
TURLOCK CA 95380
STANISLAUS COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: GESICHO, GLADYS KWAMBOKA
License/Registration Type: Dentist License
License Number: 46801 Primary Status: Current - Active
Address :
711 E HAWKEYE AVENUE, STE 2
TURLOCK CA 95380
STANISLAUS COUNTY
