Dental Board of California
Licensing details for: 13002
Name: SYCAMORE VALLEY DENTAL GROUP, CHINTA DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: 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: CHINTA, SUDHA SESHA
License/Registration Type: Dentist License
License Number: 43769 Primary Status: Current - Active
Address :
103 SYCAMORE VALLEY ROAD WEST
DANVILLE CA 94526
CONTRA COSTA COUNTY
