Dental Board of California
Licensing details for: 82734
Name: HARRIS KHATTAK, DDS
License Type: Additional Office Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: Yuba City Modern Dentistry, Inc.
Address of Record
995 Tharp Road, Suite B
YUBA CITY CA 95993
Map
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: KHATTAK, HARRIS KHAN
License/Registration Type: Dentist License
License Number: 103963 Primary Status: Current - Active
Address :
4184 Molten Creek Way
ROSEVILLE CA 95747-4556
PLACER COUNTY



