Dental Board of California

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MODESTO KIDZ DENTAL, DENTAL PRACTICE OF SHEIKH AND SHELAT DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 12350 Primary Status: Current - Active

Address :
2801 COFFEE ROAD, BUILDING B
MODESTO CA 95355
STANISLAUS COUNTY

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License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CASTAIC DENTAL CENTER DENTAL GROUP OF CHARU AGGARWAL DDS INC.

License/Registration Type: Fictitious Name Permit

License Number: 15771 Primary Status: Current - Active

Address :
31886 CASTAIC ROAD
CASTAIC CA 91384
LOS ANGELES COUNTY

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License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CITY FAMILY DENTAL AND IMPLANT CENTRE DENTAL PRACTICE OF ALTWAL AND SHELAT DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 15891 Primary Status: Expired

Address :
1317 OAKDALE ROAD., SUITE 310
MODESTO CA 95355
STANISLAUS COUNTY

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License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILE WORLD DENTAL, PRACICE OF BHAVINI SHELAT DDS INC.

License/Registration Type: Fictitious Name Permit

License Number: 9711 Primary Status: Cancelled

Address :
4925 SISK ROAD
SALIDA CA 95368
STANISLAUS COUNTY

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License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILEWORLD DENTAL, PRACTICE OF BHAVINI SHELAT DDS INC.

License/Registration Type: Fictitious Name Permit

License Number: 11703 Primary Status: Current - Active

Address :
4925 SISK RD STE A
SALIDA CA 95368
STANISLAUS COUNTY

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License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: SHELAT, BHAVINI HARISH

License/Registration Type: Dentist License

License Number: 56738 Primary Status: Current - Active

Address :
4232 ACCLAIM WAY
MODESTO CA 95356
STANISLAUS COUNTY

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