Dental Board of California
Licensing details for: 10977
Name: MANTECA ENDODONTICS, DENTAL PRACTICE OF GHAZALA R KHAN DDS DENTAL
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHAN, GHAZALA R
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: KHAN, GHAZALA R
License/Registration Type: Dentist License
License Number: 51483 Primary Status: Current - Active
Address :
327 Moffett Blvd Ste A
MOUNTAIN VIEW CA 94043-4757
SANTA CLARA COUNTY
