Dental Board of California
Licensing details for: 81343
Name: MAKADIA AND STOUT DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: BAUTISTA, REYMOND CARBONELL
License/Registration Type: Dentist License
License Number: 56217 Primary Status: Current - Active
Address :
333 University Ave
110
SACRAMENTO CA 95825-6531
SACRAMENTO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: STOUT, MICHAEL JAMES
License/Registration Type: Dentist License
License Number: 103054 Primary Status: Current - Active
Address :
3967 Missouri Flat Rd
120
PLACERVILLE CA 95667-5250
EL DORADO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: GILL, AMARDEEP KAUR
License/Registration Type: Dentist License
License Number: 50464 Primary Status: Current - Active
Address :
1450 E Main St
Ste 100
WOODLAND CA 95776-6201
YOLO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: LOPEZ, MICHAEL JAMES
License/Registration Type: Dentist License
License Number: 57591 Primary Status: Current - Active
Address :
1556 Aria Ct
LIVERMORE CA 94550-6077
ALAMEDA COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MAKADIA, PRATIK ASHVINKUMAR
License/Registration Type: Dentist License
License Number: 101080 Primary Status: Current - Active
Address :
2610 Reynolds Ranch Pkwy
ste 100
LODI CA 95240-6848
SACRAMENTO COUNTY
