Dental Board of California
Licensing details for: 14192
Name: REDWOOD SMILES, DENTAL PRACTICE OF KEERTHI GOLLA, DMD, INCORPORATED
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GOLLA, KEERTHI
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: GOLLA, KEERTHI
License/Registration Type: Dentist License
License Number: 100398 Primary Status: Current - Active
Address :
52 Verde Way
FREMONT CA 94539-2206
ALAMEDA COUNTY
