Dental Board of California
Licensing details for: 82914
Name: KHALED ENTABI, DDS
License Type: Additional Office Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: Modesto Smiles Dentistry, Inc.
Address of Record
3601 Pelandale Ave, Ste D-1
MODESTO CA 95356
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: ENTABI, KHALED
License/Registration Type: Dentist License
License Number: 56401 Primary Status: Current - Active
Address :
2600 S TRACY BL
STE 170
TRACY CA 95376
SAN JOAQUIN COUNTY
