Dental Board of California
Licensing details for: 17814
Name: DOWNTOWN SD MODERN DENTISTRY DENTAL GROUP, PRABHPREET KAILA DENTAL CORPORATION
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: KAILA, PRABHPREET SINGH
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: KAILA, PRABHPREET SINGH
License/Registration Type: Dentist License
License Number: 57847 Primary Status: Current - Active
Address :
435 4th Ave
SAN DIEGO CA 92101-6234
SAN DIEGO COUNTY
