Dental Board of California
Licensing details for: 14383
Name: CHERRY FAMILY DENTAL DENTAL OFFICE OF MISTY HENNE-BHULLAR, DMD, INC
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: HENNE-BHULLAR, MISTY AUTUMN
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: HENNE-BHULLAR, MISTY AUTUMN
License/Registration Type: Dentist License
License Number: 101918 Primary Status: Current - Active
Address :
1660 Willow St
Suite 7
SAN JOSE CA 95125-5101
SANTA CLARA COUNTY
