Dental Board of California
Licensing details for: 18476
Name: INNOVO DENTAL AND IMPLANT STUDIO LIVERMORE DENTAL OFFICE OF TEJDEEP RATTAN DDS INC
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: RATTAN, TEJDEEP 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: RATTAN, TEJDEEP SINGH
License/Registration Type: Dentist License
License Number: 64387 Primary Status: Current - Active
Address :
919 S Fulton St
MOUNTAIN HOUSE CA 95391-1402
SAN JOAQUIN COUNTY
