Dental Board of California
Licensing details for: 16947
Name: CLOVE DENTAL CARE PRACTICE OF NEELAGIRI DENTAL GROUP INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: Neelagiri Dental Group Inc
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NEELAGIRI, KRISHNA
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: NEELAGIRI, KRISHNA
License/Registration Type: Dentist License
License Number: 60639 Primary Status: Current - Active
Address :
43625 Mission Blvd
Suite 105
FREMONT CA 94539-5852
ALAMEDA COUNTY
