Dental Board of California
Licensing details for: 11070
Name: ADVANCED DENTISTRY OF WOODLAND, DENTAL OFFICE OF GUGALE & AZOUZ D
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: ADVANCED DENTISTRY OF WOODLAND DENTAL OFFICE OF GUGALE & AZOUZ DENTAL CORP
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GUGALE, MONIKA SACHIN
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: GUGALE, MONIKA SACHIN
License/Registration Type: Dentist License
License Number: 49104 Primary Status: Current - Active
Address :
941 Spring St
Suite 6
PLACERVILLE CA 95667-4546
EL DORADO COUNTY
