Dental Board of California
Licensing details for: 1079
Name: SUNSET PLAZA DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
6015 PACIFIC STREET STE 11
ROCKLIN CA 95677
PLACER county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BARAKAT, ROBERT H
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: BARAKAT, ROBERT HABIB
License/Registration Type: Dentist License
License Number: 39585 Primary Status: Current - Active
Address :
4275 ROCKLIN RD
STE B
ROCKLIN CA 95677
PLACER COUNTY
