Dental Board of California
Licensing details for: 2823
Name: MENON, SHAILAJA N
License Type: Oral Conscious Sedation
Primary Status: Expired
Specialty: Adult
Address of Record
1431 N Tracy Blvd
TRACY CA 95376-3445
SAN JOAQUIN county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILES DENTAL SPA, DENTAL GROUP OF SHAILAJA MENON, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8905 Primary Status: Expired
Address :
1431 N. TRACY BLVD.
TRACY CA 95376
SAN JOAQUIN 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: MENON, SHAILAJA N
License/Registration Type: Dentist License
License Number: 50955 Primary Status: Current - Active
Address :
2087 Laguna Creek Ln
PLEASANTON CA 94566-3407
ALAMEDA COUNTY
