Dental Board of California
Licensing details for: 11266
Name: MI SONRISA DENTAL GROUP, DENTAL OFFICE OF PANDYA PROFESSIONAL DEN
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: MI SONRISA DENTAL GROUP DENTAL OFFICE OF PANDYA PROFESSIONAL DENTAL CORPORATION
License Relationships
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: PANDYA, SUNEN G
License/Registration Type: Dentist License
License Number: 50805 Primary Status: Current - Active
Address :
8014 Lower Sacramento Rd Ste B
STOCKTON CA 95210-3747
SAN JOAQUIN COUNTY
