Dental Board of California
Licensing details for: 14548
Name: AUTHENTIC DENTAL STUDIO DENTAL OFFICE OF DR. DAO
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DAO, SHANNIKA TRICIA
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: DAO, SHANNIKA TRICIA
License/Registration Type: Dentist License
License Number: 64200 Primary Status: Current - Active
Address :
2695 Bechelli Ln
REDDING CA 96002-0926
SHASTA COUNTY
