Dental Board of California
Licensing details for: 12474
Name: ARK DENTAL CARE DENTAL PRACTICE OF JIGNA KHETANI DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: ARK DENTAL CARE PRACTICE OF JIGNA KHETANI DDS, INC
Address of Record
2096 EL CAMINO REAL
SANTA CLARA CA 95050
SANTA CLARA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHETANI, JIGNA KASHYAP
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: KHETANI, JIGNA KASHYAP
License/Registration Type: Dentist License
License Number: 61136 Primary Status: Current - Active
Address :
2096 El Camino Real
SANTA CLARA CA 95050-4055
ALAMEDA COUNTY
